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2018 Kids Camp Online Registration
This is the participant registration form for Vacation Bible School at Aldersgate United Methodist Church of North Reading, MA. Camp runs the August 13-16 (Monday thru Thursday) from 8:30 am to noon, with optional add-on 1 hour lunch bunch. The cost is $50 per child, and $20 per child add-on for lunch bunch.
Parent Names *
(Guardian)
Your answer
Contact Phone 1 *
Best name and number to call if we need to reach parent/guardian during camp
Your answer
Parent Phone 2 *
Name and number to call if we can't reach contact 1
Your answer
Home Address *
Please include town and zip code
Your answer
Email Address *
For correspondence before and during camp. This address will be used only for camp-related notifications.
Your answer
Child 1 Name *
First and Last
Your answer
Child 1 Nickname (if applicable)
Your answer
Child 1 Date of Birth *
MM
/
DD
/
YYYY
Child 1 Grade in Fall *
For the next school year
Child 1 Gender
Child 1 Allergies or Special Concerns *
Food allergies, learning disabilities, sensory sensitivities, triggers, physical limitations, or anything else you would like us to know about your child. If none, write "none."
Your answer
Would Your Child Benefit from a "Break Room"? *
We plan to provide a separate, sensory-sensitive space for children who get overwhelmed or may need a break from their peers or the structure of camp. Please let us know if you anticipate your child visiting the break room.
Do you have another child to register? *
***This is not the final question. Please hit the "Next" button after this question to continue.
Next
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