McClure Online VBS 2021
Every Wednesday from July 21 to August 11 for Kids ages 5-11
Name of Camper
First Name
Last Name
Child's pronouns
She/her
He/Him
They/Them
Other
Child's date of Birth
-
Month
-
Day
Year
Date
School Grade as of September
Name of Legal Guardian
First Name
Last Name
Guardian Email Address
example@example.com
Phone number
Please enter a valid phone number.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's medical information and allergies (i.e. latex allergy, asthma, epilepsy)
Do you have access to a printer at home?
Yes
No
I would like all paper resources delivered
Would you be interested in an individual outdoor visit to your home or a local park?
Yes
Yes I would like an outdoor visit AND I'm willing to help participate
No
Are you comfortable with picture/videos of your child being posted online?
Yes
No
Other
Submit
Should be Empty: