Kids Camp Registation Form - Bethel Church Eau Claire, Wisconsin

Child’s Name*

Parent/Guardian Name*

Address*

Mailing Address (if different)

Home

Work

Cell*

Email*

Birth date*

Month

Day

Year

Last grade completed in school*

Medical or other information we need to know. (Please include any food allergies.)

Names & Phone numbers

Who may pick up your child at the end of each VBS day?*

Add multiple person by (+) sign

Does your child attend Sunday School? If so where?*

Yes

No

Specify Where*

If your child is visiting our church, who is he a guest of?

What size of shirt does your child wear?

May we have permission to photograph your child?*

Yes

No

May we have permission to use your child’s photograph for the purpose of promotion?*

Yes

No

Registration Form • Administrative Guide Printable • VBS 2023

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