Shipwrecked VBC Registration

Please fill out the form below to register for VBC. Registration fees can be paid in person on the first day of the camp.

Location: Grand Bay Baptist Church, 77 Woolastook Drive, Grand Bay-Westfield, NB
Dates: July 2-5, 2019
Times: 9 am - noon
Cost: $10
Contact: 506.738.8423,

Email address *
2019 VBC Registration
Name of Child *
Your answer
Date of Birth *
School Grade in Fall *
Name of parent(s)/guardian(s) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Emergency contact phone number *
Your answer
Name of Emergency Contact (if different from Parent/Guardian)
Your answer
Allergies or other medical conditions
Your answer
Any additional information or comments you would like to make us aware of
Your answer
A copy of your responses will be emailed to the address you provided.
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