Fall Break VBS: Compassion Camp at St. Andrew's Episcopal, Tuesday, October 7 thru Friday, October 10, 2025 9:00AM-1:00PM
518 N. Alameda Blvd, Las Cruces, NM 88005
Name (required)
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First Name
Last Name
Your contact phone Number (required)
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Email
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Total number of children ages 5-12 years old in your group? (required)
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Total number of your participants
Number of children ages 3-4 years old (0 if none) Note: Adult/Parent required for children aged 3-4 years old
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Number of adults/parents accompanying child (0 if none)
First names and ages of all children
First Name
Age
Child #1
Child #2
Child #3
Child #4
Child #5
Child # 6
Do you or any of your group have allergies, disabilities, or other issues?
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Peanuts
Tree Nuts
Gluten
Dairy
Disability
Other
None
If you checked a box other then "None" above, please tell us how many of your group are affected.
Please add any additional information we need to know.
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