St. Andrew's VBS 2025 CAMPER Registration

St. Andrew's VBS 2025

St. Andrew's Episcopal Church | 2105 W. Market St., Greensboro | www.standrewsgso.org | 336.275.1651
Compassion Camp—What Every Living Thing Needs: July 28 - August 1, 2025

9a-12p Daily | Ages 4-9 | $50 per child
Welcome to Vacation Bible School 2025 at St. Andrew's!

We are thrilled to have you! Please complete the form below to provide us with the information we need to ensure that your child / children has / have a wonderful week with us! If you have questions about our Children, Youth, & Family Ministries, please contact Martha-Wade Chaires at martha@standrewsgso.org.
Parent or Guardian Information

Please provide information about a parent or guardian who will be the primary contact person.
Name (Parent or Guardian)*

First NameLast Name
Relationship to Child*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Family Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Click to Add a Second Parent or Guardian (Optional)
Parent or Guardian 2 (Optional)

Please provide information about a second parent or guardian contact. (This is optional.)
Name (Parent or Guardian 2)

First NameLast Name
Relationship to Child
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address (if different from that of first Parent or Guardian)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Click to Add Fourth Child
Child 4

Please provide information about the fourth child or youth you are registering.
Name (Child 4)

First NameLast Name
Date of Birth

MonthDayYear
Date
Age Today
Grade Level for 2025-2026 (Leave blank if not applicable.)
School Name (Leave blank if not applicable.)
Does the Child have any ALLERGIES?

NoYes
If YES, please list ALLERGIES here:
Does the Child have any MEDICAL CONDITIONS that we should be aware of?

NoYes
If YES, please list MEDICAL CONDITIONS here:
Is there anything you would like us to know about your child?

Add Parent / Guardian Signature
Photo Release (for all children registered)

St. Andrew's Episcopal Church has my permission to use my or my child's photograph publicly to promote their ministry. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
Parent / Guardian Signature*

Clear
Date Signed*

MonthDayYear
Signature date

Click to Add Anything Else You Want Us to Know
Please use the field below to share information not included above that you would like us to know.

To complete your CAMPER registration, CLICK THE GREEN "SUBMIT" BELOW. Then be sure to manage your payment arrangements following the "Payment Instructions" provided above. (If you don't see the green "Submit" button below, scroll down. If needed, click the gray arrow to the right to make the green "Submit" button appear.)
Should be Empty:

St. Andrew's VBS 2025