Wild Life VBS

CT Brandon Day Camp Registration Form
Wild Life Day Camp

Ages 5-12 (grades K -5)

August 21-24

1:00 - 4:00 pm

Suggested donation: $20/child

Donations are completely voluntary but do help us cover the associated costs. Donations can be e-transferred to info@ctbrandon.com (memo: Wild Life). Cash donations can be given during the week of camp.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Parent or guardian

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Phone Number
Format: (000) 000-0000.
Emergency Contact name
Emergency Contact phone number
Allergies, medical concerns or medications:
CT Brandon may use video and audio footage from this event for worship and advertising purposes. While this footage is primarily intended for our congregation, it may be posted on the internet, including Social Media and streaming platforms, and viewership will not be limited to those who affiliate with our institution. Do you give consent for CT Brandon to use footage, stills, names, audio, etc, in our worship gatherings (online and in person) and in all of our advertisements and media usage?
I give consent for my child, as named above, to attend Wild Life Camp VBS at Calvary Temple Brandon.
Signature
Have Questions?

Contact the CT Kids Leadership Team:

Pastor Amberley afischer@ctbrandon.com or info@ctbrandon.com
Should be Empty:

CT Brandon Day Camp Registration Form