Name of Participant:
Date of Birth:
Allergies/other medical conditions
Emergency Contact Information
Emergency Contact Name
Emergency Contact Relation
Emergency Contact Phone Number
Would you like to register for the extended care (from 9-4pm, additional $50/kid)?
We will provide snacks, but please send a NUT FREE lunch with your child. Please also pack a book or quiet activity for them to do during the lunch break. Please include any additional information we should know in order to best care for your child during the afternoons:
Name (s) of siblings participating
Would you like to be in the same Tribe as sibling(s)?
Would parents and/or older siblings (14+) like to be involved in VBC?
Please specify (sets, costumes, snacks, tribe leader, music)
How did you hear about this Vacation Bible Camp?
Please check the required fields
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