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2023 VBC Registration
Please complete the form below (one per child).
Early Bird Registration fee is $75 (by
June 11)
,
or Regular Registration fee is $90 (after June 11).
Registration fee is due on the first day of camp on June 26.
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* Indicates required question
Child's Name
*
Your answer
Child's Date of Birth
*
Your answer
Child's Gender
*
Your answer
Child's T-shirt Size
*
Child XS (2-4)
Child S (6-8)
Child M (10-12)
Child L (14-16)
Adult S
Name of Parent(s)
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Home Church
Your answer
Emergency Contact Person's Name
*
Your answer
Emergency Contact Person's Phone Number
*
Your answer
Relationship to Child
*
Your answer
Comments
Your answer
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