Vacation Bible Camp Registration

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$50.00

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Registration for Vacation Bible Camp.

Open to children ages 5-10.

July 15-19, 9:30 a.m. to 12:00 p.m.

Must Register Each Child Separately

Child 1 Name *

Child 1 Grade in September 2019 *

Child 1 Birthday *

Child 1 Age *

Child 1 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

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