Mega Sport Camp VBS 2024 Registration
Please fill out a separate form for each child you are registering for our "Mega Sports Camp" VBS!

Date: July 22-26
Time: 6:30-8:30pm nightly
Location: 704 N Jefferson St, Kearney, MO 64060  

For question, please call Radiant Life Church at 816-628-4169 or email at info@radiantlifeag.org
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Name of Child *
(First & Last)
Grade Completed *
Birthday / Age
Sport Choice (Choose 1) *
Required
Name of Parent/Guardian *
Address *
City *
State *
Zipcode *
Mobile Phone *
xxx-xxx-xxxx
Email
example@gmail.com
Emergency Contact *
Name & Number
Special needs / Allergies *
(Please list or state none)
Submit
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