Join us for Joseph's Egyptian adventure from Prison to Palace!

June 14 -18, Monday - Friday, 9 a.m. to 12 noon

at Christ Church Episcopal, 2320 Lane Street, Laredo, 78043

Space is limited and we will add children in the order of registration. Thank you. 

 

This is a an application for VBS, June 14 - 18, 2010


Please fill out the information once for each child coming.

Please use the name of the registering.

First Name
Last Name
Middle name(s)
Male (m) Female (f)
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Enter the child's date of birth :

-- mm/dd/yy      Grade for 2010-2011 year

If you are attending a church please add the name of the church:

Please fill out the father, mother, or guardian  information              

First Name
Last Name
Middle Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please fill out emergency contact information:

First Name
Last Name
Middle Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail


Christ Church Episcopal, Laredo, TX 78043
Copyright © 2010 [Christ Church Episcopal]. All rights reserved.
Revised: May 14, 2010
 

[Diocese of West Texas] [TMI-The Episcopal School of Texas] [City of Laredo, Texas] [related links]Hit Counter

Send mail to cclaredo@bizlaredo.rr.com  with questions or comments about this web site.
Last modified: 11/01/11