Summer Camp Enrollment Form

2025 Magnified VBS Registration

July 21-24 6pm-8pm
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
MEDICAL INFORMATION
Medical Concerns/Allergies
VBS photos/videos are taken for promotional purposes related to Ava Assembly Church and Vacation Bible School. These pictures appear in various media outlets such as our facebook page and webpage. Do you allow your child to be included in these photos/videos?*
Please select one
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2025 Magnified VBS Registration