

(one per
family, please)

August 11-15
Children
entering preschool through 5th grade (in fall 2008) are welcome to
come celebrate with us, and we’d love to have the older youth come help! If you
would like to get fired up with us, please return this registration form to the
parish office by Monday, July 7th. This event is free for students from our parish,
and we ask a $10 donation to cover the cost of supplies for those from other
parishes. Please call Nate Barr at 302-8406 or Mary Maly
at 359-5675 with any questions.
Child 1:
_________________________________ Grade (Fall ’08):
_____
Child 2:
_________________________________ Grade (Fall ’08):
_____
Child 3:
_________________________________ Grade (Fall ’08):
_____
Family Information
Parent(s):
_____________________________________ Phone:
______________
Address:
______________________________________ City/Zip:
_____________
Home
e-mail address: ________________________________________________
Emergency
contact: _____________________________ Phone:
______________
____ Check here if you would like to purchase a Power Lab CD for $7
To make Power Lab the hottest
____ I
would like to share my musical talents leading the children at Sonic Sing and Play.
____ I
am an artsy person; let me help with Wacky
Works Crafts & Missions!
____ I’d
like to help the children learn with short videos at Chadder’s Science Adventure.
____ I
want to help kids have fun (and maybe get wet!) at Hyperspeed Games.
____ My dramatic flair would be great for helping with Bible Blast!
____ I
would like to help make snacks that really relate to the Bible at Test Tube Treats.
____ Young children are my favorite; I want to help
with the Squeaky Beakers Preschool Room.
____ I
would like to guide a small group of kids in 1st-5th
grade as a Crew Leader.
____ I can help decorate our
church like a scientific lab! (Our big decorating party will be August 8th at
____ I
will donate snacks or crafts
supplies as needed.
To make
sure your child/children stay healthy and safe, please let us know any medical
conditions, allergies (food, medications, latex, bee stings, etc. . . ) or any other special concerns. Thank you!
Child 1:
______________________________________________________________________
Child 2:
______________________________________________________________________
Child 3:
______________________________________________________________________
Family
doctor: _______________________________________ Phone:
___________________
I give my
child/children permission to participate in
Parent
signature: ______________________________________Date: ___________________
If you are from another parish
please send your registration form and fee to:
Attn: Mary Maly
St. Agnes Parish
