VBC 2024 Registration Form

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Email *

Child's Last Name: *

Child's First Name: *

Date of Birth: *

YYYY

School Grade Completed in June 2024:

Our Age 3-Grade 3 Groups are now full. To be put on a waiting list, email ksinclair@lbckenora.ca

T-Shirt Size *

Youth XS (14" width x 18" length)

Youth S (16" width x 20" length)

Youth M (17" width x 22" length)

Youth L (18" width x 24" length)

Youth XL (19" width x 26" length)

Adult S

Does your child have any allergies or medical conditions we should be aware of? *

Parent/Guardian Names: *

Mailing Address: *

Postal Code: *

Home Phone: *

Cell Phone:

Emergency Contact Name: *

Emergency Contact Phone Number: *

Photo Release Consent:

I hereby give permission to Lakeside Baptist Church to use photographs of my son/daughter taken at Vacation Bible Camp (VBC) and to display and/or copy the works of my son/daughter for the sole use of Lakeside Baptist Church. I understand that these items may be used in print publications, online publications, presentations, the church website and/or official Church social media pages (such as Facebook and Instagram pages). I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Yes

A copy of your responses will be emailed to the address you provided.

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