Celebrating Jesus VBC

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Student First Name REQUIRED Please fill out this field. Please enter valid data.
Student Last Name REQUIRED Please fill out this field. Please enter valid data.
Date of Birth REQUIRED Please fill out this field. Please enter valid data.
Grade Completed REQUIRED Age 4 Kindergarten 1st 2nd 3rd 4th 5th 6-12th (Volunteer- Thank you!) Adult Volunteer (Thank you!) Please fill out this field.
Days of Attending Camp REQUIRED ALL 4! Monday Tuesday Wednesday Thursday Please fill out this field.
Parent First and Last Name Please enter valid data.
Email REQUIRED Please fill out this field. Please enter an email address.
Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
Any allergies or other concerns? Please enter valid data.
Media Consent- I consent to have photographs and/or videos of my son/daughter for use by the Faith Formation program. I understand that any photo/video would be used solely to publicize the program and share the fun! No student names will be published. REQUIRED Yes No Please fill out this field.

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Christ the King