Vacation Bible Camp Registration

SKU:

$45.00

Unavailable

Registration for Vacation Bible Camp.
Open to children ages 5-10.
July 17-21, 9:30 a.m. to 12:30 p.m.

Child 1 Name *

Child 1 Grade in September 2017 *

Child 1 Birthday *

Child 1 Age *

Child 1 T-Shirt Size (XS, S, M, L, XL) *

Child 2 Name

Child 2 Grade in September 2017

Child 2 Birthday

Child 2 Age

Child 2 T-Shirt Size (XS, S, M, L, XL)

Child 3 Name

Child 3 Grade in September 2017

Child 3 Birthday

Child 3 Age

Child 3 T-Shirt Size (XS, S, M, L, XL)

Parents' Names *

Home Address *

Email Address *

Home Phone Number *

Cell Phone Number *

Emergency Contact Person *

Cell Number *

Please List Any Food Allergies

Please List Any Medical Concerns

People Who May Pick Up Child(ren) *

VBS leaders have permission to photograph/film the child(ren) designated above in any media form for the Good Shepherd online and print publications. Acknowledged

I understand VBS staff may administer basic first aid to my child(ren) in the event of an injury, and will contact emergency services in the event of a significant injury and all expenses for emergency services will be paid by me. Acknowledged

* indicates a required field

Quantity

Buy Now