Registration Form Vacation Bible Camp: July 12th – July 15th – 6–8pm

Posted by admin on June 20th, 2016

Registration Form Vacation Bible Camp: July 12th – July 15th – 6-8pm

* Child's Full Name

* Child's Age

* Parent or Guardian's Full Name

* Street

* City

* State

* Zip Code

Mailing address if Different than above

* Your Email

* Your Phone Number:

Cell number preferred

* Name of Person if you are unavailabe

Emergency Contact

Emergency Contact Phone Number

Preferably a Cell Number

* Last Year of School child completed

Medical Conditions if any.

Allergies etc

* CAPTCHA

Tigard Covenant Church (Christian)