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*A Medical Form also will need to be filled out first day of camp.

Cell Phone/ Emergency Number *

Student First/Last Name: *

School Grade Entering This Fall *

Email: *

Special Concerns/ Needs/ Etc.:

Vacation Bible School

Watch for 2019 Dates

Preschool through 5th Grade

Parent Name (s): *

Please submit each child separately.

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Any Questions? Contact us!