Vacation Bible Camp Registration

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It's time to register your children for Vacation Bible Camp ~ June 26 - June 30, 2023!
Open to students entering 3K - Grade 6 in the fall. If you have more than (3) campers, please submit an additional form.

9:00 am - 11:30 am for 3K & 4K
9:00 am - 3:00 pm for Grades K-6

Child #1 Name: *

Child #1 T-Shirt Size: *

Child #1 Grade (entering in the fall):

*Note, Grades 5 & 6 are full as of 6/12/23

Child #2 Name:

Child #2 T-Shirt Size:

Child #2 Grade (entering in the fall):

*Note, Grades 5 & 6 are full as of 6/12/23

Child #3 Name:

Child #3 T-Shirt Size:

Child #3 Grade (entering in the fall):

*Note, Grades 5 & 6 are full as of 6/12/23

Parent's Names *

Address (include City, State and Zip) *

Phone Number (best to reach you) *

Parent Email Address *

Church Membership *

Alternate Contact Name & Phone (in case of emergency and we are unable to reach you) *

Medical Information (allergies, etc.) *

By submitting this form you are agreeing to our Emergency Information: I understand that in case of serious accident or illness at VBC, the staff will make every effort to contact the parents for immediate action. If the VBC staff is unable to reach a parent, I hereby authorize the St. Paul's Lutheran VBC staff to seek emergency medical attention for the child(ren) named above. I understand that I will be notified of any such emergency medical attention as soon as possible. Please type your name below to agree. *

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