Light of the Village Summer Bible Camp Registration Form
Each child attending needs a separate form.

Only the parent/legal guardian of the child may register him/her.

Registration IS NOT COMPLETE until you, the parent/legal guardian, come in person to sign your child's liability form.

Completion of this form does NOT GUARANTEE a spot at camp, but it DOES hold your place in line.

A director will contact you to let you know if your child has been admitted or placed on the waiting list based on the capacity of children we can safely accommodate.
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Child's First Name *
Child's Last Name *
Child's Nickname (if applicable)
Child's Age *
Child's Birthday *
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DD
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Child's Gender *
Child's T-shirt Size *
Child's Grade Completed by June 2024 *
Parent or Guardian's Name *
Parent or Guardian's Phone Number(s) *
Child's Address - Street Number and Name *
Child's Address  - City *
Child's Address  - State *
Child's Address  - Zip Code *
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