Camping Out:

"Getting S'more of Jesus

Dates:

Monday June 19 - Friday June 23

6:00 p.m. - 8:00 p.m.

Ages:

Kindergarten - 5th Grade

Please provide us with the following information:

Child's Information
Child's First Name -
Child's Last Name -
Child's Age -
Please select one of the following grade levels you child is entering into
Selections Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
Parent or legal guardian contact information
First Name -
Last Name -
Address -
City -
State -
Zip Code -
Home Phone -
Cell Phone -
Emergency Contact Number -
Secondary Contact Number -
E-mail -
Addition Information
Does you child have any special needs or disabilities that we need to be aware of?
Does your child haven any food allergies that we need to be aware of?
Do you have any concerns that you would like us to be aware of?
Person(s) authorized to take child from premises?
How did you hear about this event?
Would you like to be notified of upcoming children events? yes   no

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Thank you for registering your child for Grace Life Vacation Bible School