Yeehaw Bible Camp
St. Matthias and St. Luke Church Vacation Bible School

Date: August 24, 1-4pm
Address: 320 E 15th Ave, Vancouver, BC
Ages: Kindergarden - Grade 7 (Ages 5-12)*
Contact: chris@smslchurch.ca
Cost: Free

* Children under 5 who attend SMSL can also come if a parent remains present

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Limited space is available, so registration will operate on a first-come, first-served basis.

Child's Information
Child's Name *
Your answer
Child's Date of Birth
MM
/
DD
/
YYYY
Child's Gender
Address
Your answer
BC Care Card Number
Your answer
Does child have any allergies, medical conditions, current medication or other special needs?
Your answer
Child's Age *
Your answer
Parent / Guardian 1 Information
Name
Your answer
Relationship to Child
Your answer
Address
Your answer
E-mail
Your answer
Phone Number
Your answer
Parent / Guardian 2 Information
Name
Your answer
Relationship to Child
Your answer
Address
Your answer
Phone Number
Your answer
Name of authorized person(s) picking up child: *
Your answer
Additional Information
Do you have a home church? *
Required
Dietary restrictions for child *
Would you like to know more about St. Matthias and St. Luke Church by E-mail? *
Required
Please note a waiver will be required to be signed by a Parent Guardian upon arrival October 19.
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