Kids' Camp @ TBC
July 15-18, 9:30am - Noon
If registering more than one child, please submit each one separately.
Email address *
Child's First & Last Name *
Your answer
Grade last completed *
Allergies *
Your answer
Parent/Guardian Name *
Your answer
Address *
Your answer
Phone *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Please list all persons allowed to pick up with their relationship and phone number. ID must be shown for child(ren) to be released. (eg - "Jane Smith, aunt, 804-999-3215. John Smith, grandfather, 804-999-1111) *
Your answer
A copy of your responses will be emailed to the address you provided.
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