---YOUTH Day Retreat Registration--- (Grade 6-12)
Event Timing: Sept 28, 2019
Event Address: West Bank Bible Camp
Contact us at wbbcamp@gmail.com or 306-773-6815
PURPOSE & EXTENT OF REGISTRATION FORM: West Bank Bible Camp, is collecting and retaining this personal information for the purpose of enrolling the attendee in our event, and to inform you of any program updates. This information will be maintained confidentially and indefinitely as it is a requirement of our insurance company and legal counsel. If you wish West Bank Bible Camp to limit the information collected, please contact us ASAP at 306-773-6815
PARENT INFORMATION
First Name *
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Last Name *
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Email: *
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Address:
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City: *
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Province: *
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Postal Code *
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Cell Phone Number: *
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Home Phone Number:
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Work Phone Number:
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