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Trinity Lutheran Church Kids Camp 2018 Registration Form
Registration forms can be sent to or dropped off at Trinity Lutheran Church 11040 River Road,Delta BC V4C 2S2
604-584-0111
Family Name
If you are registering more than one child, please only fill out the family name and the information for the next child, and we will copy the rest of your informtion over
Your answer
Parent/ Guardian Name
Your answer
Address
Please include city and postal code
Your answer
Phone Number
Day
Your answer
Phone Number
Cell
Your answer
Email Address
Your answer
Emergency Contact #1
Example: John Appleseed- Father- 604-555-4312
Your answer
Emergency Contact #2
Example: John Appleseed- Father- 604-555-4312
Your answer
First Child's Name
Your answer
Birthday- Age
MM/DD/YYYY- 10 years old (Please note camp is for 6-12 year olds having at least completed kindergarten)
Your answer
Known Allergies, Special Needs or Medical Concerns
Please be as detailed as possible ( especially with allergies) Please note, if your child has a diagnosed special need, you need to contact us to confirm that we have enough support to accommodate your child.
Your answer
Payment Method *
Please make all cheques payable to Trinity Lutheran Church
Required
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