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Kids' Quest Registration

Kids' Quest 2010: The Jesus Expedition

Kids, come join the fun and adventure as we visit Antarctica, excavate in the Egyptian desert, experience the Brazilian jungle, trek up Mount Everest and dive into the Pacific Ocean. You’ll love the fun and activities that will help you learn about Jesus’ awesome power and love as we study some of His miracles!

Children 4 years old to those who just completed fifth grade are invited to join this very exciting VBS at Aubuchon Park at Sunset & Flamingo in Hazelwood. And it’s all free!

Monday, July 26-Friday, July 30
9 a.m.-Noon daily

Register online below. For more information phone the church office at 314.895.1850. Sponsored by Chatham Bible Church.

Family Information

Parent/Guardian: *
Relationship to children: *
Home phone: *
Work phone:
Cell phone:
E-mail address: *
Street address: *
City/State/Zip: *, * *
Home church:
Invited by:

Emergency Contact

Name: *
Relationship to children: *
Phone: *

Child 1

Name: * Male Female
Grade completed:
Name of school this fall:
Age: *
Birth date: *
Medical needs: (allergies, asthma, etc.)

Child 2

Name: Male Female
Grade completed:
Name of school this fall:
Age:
Birth date:
Medical needs: (allergies, asthma, etc.)

Child 3

Name: Male Female
Grade completed:
Name of school this fall:
Age:
Birth date:
Medical needs: (allergies, asthma, etc.)

Child 4

Name: Male Female
Grade completed:
Name of school this fall:
Age:
Birth date:
Medical needs: (allergies, asthma, etc.)

Comments

Release waiver

I release the above children into the care and protection of Chatham Bible Church, recognizing that they will do everything possible to create a safe environment for my children. In the event that medical attention is needed, I give Chatham Bible Church permission to care for my child as appropriate. I understand that someone from Chatham will attempt to contact me as soon as possible in the event of an emergency.

Check this box to accept the above release waiver.

Chatham Bible Church | 6375 Howdershell Rd | Hazelwood, MO 63042 | 314.895.1850 | chathambc@sbcglobal.net

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Last modified: August 18, 2010