Summer Camp Registration
Please complete one Registration Form per child you wish to register.
CHILD INFORMATION:
Child Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Phone Number
*
-
Area Code
Phone Number
E-mail
*
I give my child permission to participate in all activities and programs during the Whole Armor Church Summer Camp and to be transported to and from the Summer Camp by Whole Armor church. I agree that Whole Armor Church will not be held responsible for accidents or persons injured arising there from.Type a question
*
Yes
No
I realize that my child may be in photographs taken during the Summer Camp. I waive the right to inspect or approve the photo if used for publication or publicity.
*
Yes
No
Health History
Please ensure we have the proper information to better serve your child!
If you, the parent/guardian, cannot be reached, in the case of an emergency, who do we contact? Please Type Name and Phone Number below.
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Are there any conditions, diseases or allergies we should be aware of? If yes, please explain:
Is your child allergic to insect repellent?
*
Yes
No
Will your child need to take medication while at VBS?
*
Yes
No
Is there any other health related information we should know about or activity restrictions we should provide during the week? (Please Identify the medications, if needed while at VBS, here.)
Any dietary needs that we should know about?
I, the undersigned, herby give permission for my son/daughter to practice in the Summer Camp Events, Activities, and Discussions. I authorize any adult representative of Whole Armor Church Of God In Christ is acting in a leadership role to consent to and authorize the administration and performance of all treatments that may be considered advisable or necessary in the judgement of attending physicians, in the event that the above named participants should be admitted to any hospital, or be in need of any medical treatment. I take full responsibility for all charges and fees related to the treatment. I understand that the care and safety of the participant will be primary in all planned activities and that all attempts will be made to contact parents/guardians prior to treatment if an emergency or accident should happen.
*
Yes
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Summer Camp Registration
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