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, office@grandbaybaptist.ca

Email address *
2019 VBC Registration
Name of Child *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
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.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service