REGISTER FOR VACATION BIBLE SCHOOL Saturday July 23rd, 2011, 1:00-4:00PM Gwinnett Church of Christ 1736 Sever Roard, Lawrencveille, GA 30043 The information will be used strictly for VBS-related activities and communication. Information will not be released to third parties.   CHILD'S NAME: CHILD'S AGE: GRADE COMPLETED in 2010/2011 SCHOOL YEAR: PARENT/GUARDIAN NAME:   ADDRESS 1: ADDRESS 2: CITY: STATE: POSTAL CODE: TELEPHONE: EMAIL: ALT. EMERGENCY CONTACT: ALT. EMERGENCY CONTACT TELEPHONE: FOOD ALLERGIES:   Would you like to receive information about Gwinnett Church of Christ?    YES NO