Preschool Summer Camps 2018
Participant Name
*
Parent/Guardian Name(s)
*
Address
*
Home Phone
Cell Phone
Child's Date of Birth
*
Grade Entering Fall 2018 & current age
*
Home Church
Allergies/Other Medical Concerns
*
Emergency Contact Name/Phone Number
*
Emergency Contact Name/Phone Number (Secondary)
*
Names(s) of person(s) who may pick up this child from Preschool Summer Camps and/or Preschool VBS
*
Please indicate any individuals who are not allowed to pick up this child from Preschool Summer Camps and/or Preschool VBS
*
Shirt Size of Participant
*
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Do you have any additional comments or questions regarding Preschool Camps and/or Preschool VBS?
Please Select which camp your child will be attending
*
Space Camp
Preschool VBS
Summer Fun Camp
Attending all camps
Your Email Address
*
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