Egypt: Joseph's Journey from Prison to Palace:
Name
Grade Entering in the fall:
Street Address
City
State
Zip Code
Home Telephone #
Cell Phone #
Home email address:
Will parents be helping in other areas of Egypt? Where?
In case of Emergency, Contact:
Allergies or other medical conditions:
Home Church:
Parents Names:
**A parental and / or guardian signature will be required on the first day of VBS. This signature will indicate permission for Second Reformed Church to use my child's picture in VBS publicity, including the Internet.
* Enter Your Email Address:
Second Reformed Church 703 14th Ave. Fulton, IL 61252 Phone: 815-589-3425 Fax: 815-589-4529 secretary@secondreformedchurch.net