Avon Community Church

Helping people say YES! to God and developing them
into fully devoted followers of Jesus Christ.


	Vacation Bible School "God's Big Backyard" Online Registration Form ( Be SURE to fill out a form for EACH child. ) (* = a required field)

	~ Child Attendee Information ~ Child's Name : Date of Birth : Grade Completed : Age : Parent / Guardian : Street Address : City, State, Zip : Home Phone : Cell Phone : Email Address : ~ Emergency Contact Information ~ Contact Name : Phone Number 1 : Phone Number 2 : ~ Family Medical Provider Information ~ Provider Name : Clinic : Phone Number : ~ Special Needs or Allergies ~ (Please be specific) : ~ Names of other family members attending ~ 1 : 2 : 3 : 4 :

Dates : Aug. 3rd - 7th
Times : 6:30 - 8:30 pm


Phone : (320) 356-9001	Office Hours	204 Avon Ave. North
Email : Secretary Email : Senior Pastor	8:30 a.m. - 3:00 p.m. (Mon - Thurs) 8:30 a.m. - 12:00 p.m. (Fridays)	P.O. Box 248 Avon, MN 56310