Adventures in Faith 2010 Registration Form

(Please Return by July 3)

Student ________________________________________ 

Age _________________

Student ________________________________________

Age _________________

Student ________________________________________ 

Age _________________

Student ________________________________________

Age _________________

Parent's Names ___________________________________________________

Address: _____________________________________

_____________________________________________

Home Phone: _____________________________

Cell Phone: _______________________________

Allergies or medical needs for your child(ren)? ___________________________

Joining us for Friday Feast? _________________________________________

Number Attending ________________

Joining for Ladies Fellowship?

Nursery Needed? ________________