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Camp Kilimanjaro 2021 Registration
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* Indicates required question
Email
*
Your email
Name of the Parent / Guardian
*
Your answer
Mobile Number (include country code)
*
Your answer
Full Address
*
Your answer
Country
*
Your answer
Name of the Church you are attending?
Your answer
Name of the Child
*
Your answer
Age of the Child
*
Your answer
Gender
*
Male
Female
Has the Child attended any VBS before at KCC?
*
Yes
No
Required
Does the Child have any learning challenges?
*
Yes
No
Required
Agreement
*
I, the parent agree to commit and co operate to permit my child from May 17th - May 22nd (5 days) without fail.
Required
Date of Registration
*
MM
/
DD
/
YYYY
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