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2023 Summer Bible Ca
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*If your child is not able to attend Bible Camp once you've registered, please notify us as soon as possible at admin@bethlehem-lutheran.org. Thank you for this courtesy!*
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Twists and Turns - Following Jesus Changes the Game!
July 17-21, 2023 -
9:00 am - Noon
Special Family Program at Noon on July 21st!
Hosted by: Bethlehem Lutheran Church
9748 Copeland Drive, Manassas, VA 20109
www.bethlehem-lutheran.org
Child's Name:
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Your answer
Last Grade Completed (choose one)
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Preschool: Age 3-5 (has NOT yet attended Kindergarten)
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Date of Birth:
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MM
/
DD
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YYYY
Child's Age:
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Your answer
Child's T-shirt Size (choose one)
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Youth X-Small (2-4)
Youth Small (6-8)
Youth Medium (10-12)
Youth Large (14-16)
Adult Small (34-36)
Parent Name:
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Your answer
Home Address:
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Your answer
Home Phone:
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Your answer
Cell Phone:
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Your answer
Email Address:
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Your answer
Emergency Contact Person:
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Your answer
Relationship to Child:
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Your answer
Home Phone:
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Your answer
Alternate Phone:
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Your answer
List of people who may pick up your child:
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Your answer
Food Allergies?
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No
Yes
If yes to Food Allergies, please list:
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Your answer
Medical Concerns?
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No
Yes
If yes to Medical Concerns, please explain:
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Your answer
Digital Images - Pictures and video recordings may be taken of your child during Bible Camp activities. Some of these images will be used in a slideshow presentation for our final day of camp on Friday, August 9. Children's names will NOT be included in this presentation.
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I GIVE permission for my child's image to be used in this media presentation.
I DO NOT give permission for my child's image to be used in this media presentation.
How did you hear about our Bible Camp?
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Bethlehem Lutheran/WELS
Little Stars of Bethlehem Early Learning Center
Toddler Time with Jesus
Sudley Elementary School
Neighbor/Friend
Other
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