Wake Chapel Christian Church
2007 Vacation Bible School
Information & Registration Form
Contact Information
( All information is required unless otherwise stated )

Parent / Guardian:
First Name      Last Name
Street
City    
State         Zip
Phone Number (HOME)
Phone Number (MOBILE)
Please enter same E-Mail address twice
E-Mail
E-Mail (re-enter address)

Child Registration

Child's Full Name Birth Date Grade Completed
Child 1
Child 2
Child 3
Child 4
Child 5

Additional Information
( All information is required unless otherwise stated )

Are you able to volunteer as a helper with our VBS? Yes No

List Individual Authorized to pickup your child/children after VBS if you are
dropping them off. ( will be verified at time of drop off )


There is a snack time each night, so please list any known food allergies


We need a good estimate count for those who plan to attend dinner.
Will you be joining us for dinner at 4:30?


Please include any additional information or comments. Are you a member
of Wake Chapel Christian Church? Do you attend Wake Chapel or any other church? (OPTIONAL)


* NOTICE *If you do not wish to submit this form online, then please print
it out and fax or mail it to the address or number listed at the bottom of the webpage.

Senior Pastor : Ross E. Marion Pastor of Music & Education : David Brown Pastor of Youth : Seth Carter
905 Wake Chapel Road, Fuquay-Varina, NC 27526 -- Phone: 919-552-4147 - Fax: 919-552-1000
Email: info@wakechapelchurch.org :: Design by Nebula Web Designs