Vacation Bible Camp

Elementary Cadet Registration Form

Join us this summer as we blast into space for Vacation Bible Camp! Our theme this year is called Stellar: Shine Jesus’ Light; with engaging Bible stories, art & science explorations, and energizing games where your child will learn how to shine their light for Jesus! They won’t want to miss out on this epic space adventure!
This camp is designed for kids heading into grades 1-5.

Child's Information

Child's First Name

Child's Last Name

Date of Birth

Age

Child's Gender
Boy
Girl

Special Needs / Allergies

Anything else we need to know about this child?

Parent's Information

Parent's First Name

Parent's Last Name

Address - Street/City/State/Zip

Email

Phone Number

Emergency Contact Information

First Name

Last Name

Phone Number

Pickup After VBC

During drop-off, please let us know if someone else is picking up this child. They will need to present their driver's license.

Person responsible for Pickup after VBC

Pickup Contact - Phone Number

Relationship to child

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