Vacation Bible Camp

VACATION BIBLE CAMP

2018

SPLASH CANYON

Parent Contact Information
Parent/guardian name
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E-mail
Phone -- Please provide best contact number during camp hours
Person responsible for pick up other than parent
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Relationship to child(ren)
Phone --
Child(ren) Information
Name
  •  
Age
Allergies/Special Concerns
Grade entering September 2018
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Child 2 Information
Name
  •  
Age
Grade entering September 2018
  •  
Allergies/Special Concerns
Child 3 Information
Name
  •  
Age
Grade entering September 2018
  •  
Allergies/Special Concerns
Payment
VBS Cost  
Selection Extended

Individual | $35.00

Family | $60.00

VBS Waived - Teacher | $0.00

Pay 1st day of camp | $0.00

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Order Summary
Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type


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