CM Campus VBS 2018

Vacation Bible School - CM Campus

AGES: 4yrs through Rising 6th Grade. COST: Free. DATES: July 10-12. TIME: 6pm - 8pm.
Child's Name *

First Name Last Name
Child's Birthday *

Month Day Year
Child's Age
What grade will your child be going into?
Is your child on medication? *

Yes No
What type of medication?
Does your child have seizures? *

Yes No
Allergies?
Parent #1 Name *

First Name Last Name
Parent #1 Email *
Parent #1 Phone Number

- Area Code Phone Number
Parent #2 Name

First Name Last Name
Parent #2 Email
Parent #2 Phone Number

- Area Code Phone Number
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *

- Area Code Phone Number
Should be Empty:

Vacation Bible School - CM Campus