VBS Registration Form-Mega Fun Camp

Please enable JavaScript in your browser to complete this form.

Name

First

Last

Preferred Name for Name Tag

Gender

Parent/Guardian Name:

First

Last

Address

City

State

Zipcode

Cell Phone

Birthday

(MM/DD/YYYY)

Last Grade Completed

Allergies, Medical, & Special Needs

Leave Blank if None

Emergency Contact Name

Emergency Contact Phone

Authorized Pickup Person

Do you attend Church?

If so, where?

May we have permission to photograph your child?

May we have permission to use your child's photograph in church publications.

T shirt size

Class Options

How did you hear about Mega Fun Camp

Questions, Comments or Concerns.

VBS Registration Form-Mega Fun Camp

Upcoming Events