Camp Victory Registration Form
Welcome!! We are SO excited to have your child be a camper at FSMBC Camp Victory!! Please complete a separate registration form for each child who will attend this summer's camp.

Camp dates are: June 21 - July 30, 2021

Registration Form must be completed by June 11, 2021
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Child's First Name *
Child's Last Name *
Child's Age *
Child's Grade (Current Grade in School) *
1. Address: Street Name & Number *
2. Address: Apt. # (if applicable)
3. Address: City *
4. Address: State *
Parent/Guardian Name (Last Name, First Name) *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Child's T-Shirt Sizes *
Please indicate the week or weeks your child will be attending camp (check ALL that apply): *
Required
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