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Camp Firelight VBS Registration
Event Date
: July 7-11
Event Time
: 6pm-8pm
Event Address
: 704 8th St., Baldwin City, KS 66006
Contact us at 785-766-2587 for additional information
Parent or Legal Guardian, please complete one form for each Child (Participant)
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Information about Parents and Guardians
Parent/Guardian's Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian's Email Address
*
Your answer
Information about Children attending VBS
Child's First and Last Name
*
Your answer
Grade the Child just completed
*
Preschool
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Individually list any allergies and medical conditions that the staff needs to be made aware.
*
Your answer
Is there anything about your child that you would like us to know?
Your answer
Photo Release*
I give permission for any image of the Participant to appear in pictures, photographs, electronic images, video, audio, publications, website, or other electronic media for the Baldwin First United Methodist Church.
*
Yes
No
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