WAIT LIST K4J Vacation Bible School Registration: age 4-rising 5th Grade

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BLESSED SACRAMENT CHURCH, Alexandria, Virginia
This Google Form is the WAIT LIST for Children aged 4 by June 29 through rising 5th grade.
A separate registration is required for each child.

Registration for out-of-parish youth will open May 1.

Email *

email address *

Last name of Camper/Jr. Captain *

First name of Camper/Jr. Captain *

Date of Birth *

Sex *

Male

Female

rising grade for Fall 2020 *

pre-K

1st

2nd

3rd

4th

5th

Parent name *

address *

Emergency contact name and number *

Does your child have allergies, food or other, that we should be aware of? *

Does your child have special needs that we should accommodate for a successful week? *

The fee for CAMPERS is $75.00 ($37.50 for those whose parents have committed to volunteering--please contact Susan Doyle for the volunteer fee link). How would you like to pay? Please note that registration is not complete until payment is made. *

Faith Direct link (Please remember to return to this Form to submit) https://membership.faithdirect.net/events/details/2815

I will bring a check by the office.

I will bring cash by the office.

Financial aid: Please contact sdoyle (at) blessedsacramentcc.org

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