CHILD'S INFORMATION This form is for Kindergarten - 7th Grade ONLY (Must be in Kindergarten to 7th grade this school year, 2025-2026)
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| Child's First Name * |
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| Child's Last Name * |
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Child's Age * |
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| Child's Gender* |
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| Child's Date of Birth (MM/DD/YYYY format) * |
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| What grade is your child this school year (2025-2026) (Must be Kindergarten to 7th grade 2025-2026 school year) SALT (8th-11th)* |
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Friend You may enter the name of ONE CHILD which you would like your child to be in the same group with. We cannot promise to honor all requests! |
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A t-shirt is included with registration. Please estimate your child's T-shirt size. * |
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June 8th to 12th 9:00 AM to 12:00 PM VBS - Vacation Bible School Kindergarten - 4th grade - $50 5th & 6th grade* - $75 7th grade (Volunteer in training) $25 *includes activities on and off campus-additional Release form required.
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Please choose the Vacation Bible School Option according to your child's age: IF SALT (8TH-11TH) AFTER COMPLETING THIS REGISTRATION-GO TO VBS VOLUNTEER LINK AND REGISTER IF YOU WANT TO PARTICIPATE IN VBS*
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June 8th - 12th 12:00 PM to 5:00 PM Summer Day Camp - After VBS Kindergarten -7th grade - $125 8th-11th grade - $75 Basketball Camp - CLOSED
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If interested, please choose the Afternoon Camp your child would like to attend (12 pm - 5 pm)*
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PARENT/GUARDIAN INFORMATION
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Name of Parent(s)* |
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| Email * |
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| Verify Email * |
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| Home Address* | |
| Cell Phone (xxx-xxx-xxxx format) * |
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| Home Church * |
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ALLERGIES OR OTHER MEDICAL CONDITIONSPlease answer the below questions to help us create a safer and more engaging environment for your child.
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| List any known Allergies Put N/A if None * |
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Health issues we should be aware of (endocrine disorders, respiratory issues, cardiovascular issues, etc.) yes/no details if yes Put N/A if NONE** |
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Behavior factors we should be aware of (learning disabilities, challenging behaviors, etc.) yes/no (details if yes) Put N/A if NONE* |
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EMERGENCY CONTACT INFORMATION In the event we can not reach a parent, please provide an additional person we can contact.
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| Emergency Contact * |
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| Number (xxx-xxx-xxxx format) * |
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ACTIVITY PARTICIPATION RELEASE OF LIABILITY & PHOTO RELEASE
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Please read the attached Activity Participation Release of Liability & Photo Release, then print and sign it for your acceptance of the terms and conditions. You may bring it by the office, mail it, or bring it with you on the first day of camp. |
| Attached Document: | Release of Liability & Photo Release.pdf |
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