Cave Quest VBS Registration

Cave Quest VBS Registration

Vulcan Church of Christ July 22-25, 2024 Faith based Summer Day Camp
Camper Name
Last Name*
First Name*
Camper's Information
Address*
City*
Province *
Zip*
Home Phone*

Area CodePhone Number
Emergency Contact Name(if parent or guardian is not avaliable)*
Emergency Number*

Area CodePhone Number
Birth Date*

MonthDayYear
Grade entering in the fall*
Parent or Legal Guardian Information
Parent/Legal Guardian*
Relation*
Work Phone*

Area CodePhone Number
Cell Phone

Area CodePhone Number
Parent /Legal Guardian 2
Relation 2
Work Phone 2

Area CodePhone Number
Cell Phone 2

Area CodePhone Number
Church Information
Church you attend
Church City
Email Confirmation
Parents Email *
Camper's Email
Other Information
How did you hear about VBS
All fileds are required below. If nothing applies, please put "NONE" in the box. Thanks.
List any allergies (ex: bees,peanuts)*
Any dietary needs that we should know about?*
Camper Release
It is our policy to contact the parent or guardian as soon as possible in the event of a serious accident or injury. If the information has changed on the day of registration please see volunteer at registration desk.
Camper Release (List anyone, including parents, to whom your camper can be released)*
- Be certain to enter your email address correctly on the registration form to receive confirmation via email.
By hitting submit and putting your initials, you agree that you are the parent or legal guardian of the above named camper, and are over the age of 18. In case of medical emergency or general medical care, the parent or guardian that is listed above will be contacted to come and pick up the camper. I understand that the above named camper will only be released to the names listed above, an update may be done at registration. I certify that my child has my permission to attend camp and participate in all activites. I authorize Vulcan Church of Christ to use my camper's picture, testimony, and video in any promotional material(web,print,or media) My child may recieve any e-mails from the camp.
Signature*

Clear
Electronic signature, please initial*
Should be Empty:

Cave Quest VBS Registration

Camper Name

Camper's Information

Parent or Legal Guardian Information

Church Information

Email Confirmation

Other Information

Camper Release