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Camp SoS VBS Registration
June 23-24
For Children 4 years old through 8th Grade
Student Registration Form
For questions, please contact the Camp Directors: Chris Collins (252.723.7173) or Cheri Collins (252.723.8511)
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Age
*
Your answer
Child's Birthdate
*
Your answer
Child's Grade completed
*
Your answer
Parent/Guardian Name(s)
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Preferred Contact Method
*
Phone
Email
Required
Emergency Information
Emergency Contact 1 (Name and Phone Number)
*
Your answer
Emergency Contact 2 (Name and Phone Number)
*
Your answer
Doctor (Name and Phone Number)
*
Your answer
Allergies, Special needs, dietary restrictions
*
Your answer
Dismissal
Who may pick up your child at the end of each VBS day? (please list all names and relationship)
*
Your answer
I would like to camp with my child
*
yes
Not this time
I need to borrow a tent
*
yes
no
We can't wait to see you at Camp SoS!
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