Camp Out VBS Registration
July 8th - 11th, 9am to Noon
Children Grades K to 5

St. Paul's Anglican Church, Hampton
486 Kennebecasis River Road

First Name *
Your answer
Last Name *
Your answer
Date of birth *
Phone Number *
Your answer
Email address *
Your answer
Mailing address *
Your answer
Parents/Guardians Name *
Your answer
Emergency Contact Name *
Please provide the name of an emergency contact that is available during the time of the event. This may or may not be a parent
Your answer
Emergency Contact Number *
Your answer
Allergies *
We will do our best to accommodate allergies. If you have concerns please contact us directly.
Your answer
Your answer
Photo Release *
I grant to St Paul's Anglican Church and its representatives and employees the right to take photographs of my child in connection with the VBS - Camp Out. I agree that St Paul's Anglican Church may use such photographs of my child with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content. By checking the yes box below you are electronically signing and granting your permission.
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