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
stpauls-hampton@outlook.com
506.832.3375

First Name *
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Last Name *
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Date of birth *
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Phone Number *
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Email address *
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Mailing address *
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Parents/Guardians Name *
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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
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Emergency Contact Number *
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Allergies *
We will do our best to accommodate allergies. If you have concerns please contact us directly.
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Comments
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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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