IN THE WILD God is Good
Summer Kids Camp 2019
July 22 - 25 6:00pm - 8:30pm
Kindergarten - Grade 4

Morden Alliance Church
181 15th Street Morden

Suggested Donation: $10 per child

Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Gender *
Grade as of September 2019 *
Birthdate *
MM
/
DD
/
YYYY
Allergies / Medical conditions / Other important info *
enter "none" if not applicable
Your answer
Friend your child might like to be with
Your answer
Morden Alliance Church WILL NOT post any photos of children online. Consent to Morden Alliance Church for the reasonable use of pictures containing your child within the church. *
Parent(s) / Guardian(s) Names *
Your answer
Cell Phone *
Your answer
Alternate Phone
Your answer
Email *
Your answer
Home Church *
Emergency Contact Name *
Other than parent / guardian listed above
Your answer
Emergency Contact Phone *
Other than parent / guardian listed above
Your answer
Your signature will be required when you bring your child to VBS
Your child will be cared for as though he/she were our child. It is understood that caution will be taken by the persons in charge to prevent injury, but neither those in charge nor Morden Alliance Church will be held responsible in case of injury.
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