VBS 2024              Camp Caring          Child Registration 
Please provide accurate and complete information. Up to FOUR (4) children in your family can be registered in a single registration form. If you have more than four children to register, please start a new registration form.
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Parent/Guardian First/Last Name *
Address *
Zip Code *
Cell Phone number *
Email address *
Energency Contact Name *
Emergency Contact Cell Phone # *
Responsible Person Picking Up Your Child (Full name) *
Person’s relationship to your child *
Person’s Cell Phone # *

By registering for this program, you and your child may be photographed, videotaped, filmed on live-streamed feeds, and/or recorded as part of their participation in any of the church’s worship services and events, from the date hereof, and such video recording  or photograph may be included in any church publications, website, or on the other social media platforms of Clover Hill Reformed Church of Hillsborough, New Jersey. No personal identifying information will be used.

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How did you hear about our VBS program? *
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