Bible Camp 2026
June 15-19
Child's Name #1
*
Date of Birth
*
Ages 4 & up
Child #1 Grade
Please Select
Preschool
Kinder
First
Second
Third
Fourth
Fifth
Does child #1 have any allergies?
*
If yes, please list.
Child's Name #2
Date of Birth
Ages 4 & up
Child #2 Grade
Please Select
Preschool
Kinder
First
Second
Third
Fourth
Fifth
Does child #2 have any allergies?
If yes, please list.
Child's Name #3
Date of Birth
Ages 4 & up
Child #3 Grade
Please Select
Preschool
Kinder
First
Second
Third
Fourth
Fifth
Does child #3 have any allergies?
If yes, please list.
Parent/Guardian Name
*
Phone Number
*
E-mail
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Medical Information
*
Registration Fee
*
prev
next
( X )
Bible Camp
$
10.00
June 15-19 from 9am-12
Quantity
0
1
2
3
Total
$
0.00
I give Pflugerville Community Church permission to use photos of my child to share on social media. (Daily photos will be shared with all camp parents via email. Please do not post photos of other families.)
*
Please Select
Yes
No
Signature
*
Register
Should be Empty: