Registration Form Vacation Bible Camp: July 12th – July 15th – 6–8pmby adminJune 20, 2016June 20, 2016 Registration Form Vacation Bible Camp: July 12th – July 15th – 6-8pm * Child's Full Name * Child's Age * Parent or Guardian's Full Name * Street * City * State * Zip Code Mailing address if Different than above * Your Email * Your Phone Number: Cell number preferred * Name of Person if you are unavailabe Emergency Contact Emergency Contact Phone Number Preferably a Cell Number * Last Year of School child completed Medical Conditions if any. Allergies etc * CAPTCHA