2018 VBX Registration
Parents! Thanks for your interest in this year's VBX! We're excited about spending this time with your child, learning, talking about Jesus, and just having FUN! Please complete a form for EACH child you are registering for VBX (June 3-6; 6-8:30pm) at Pauline Baptist Church (909 N. Hyatt). To register an additional child, click Submit Another Response on the confirmation page. YOUR CHILD WILL REMAIN IN THE CAMP THEY ARE SIGNED UP FOR THROUGHOUT THE WHOLE WEEK. Changes can be made by contacting Ryan Copico (ryanjcopico@gmail.com; 870.820.2552). THANKS for sharing your child with us!
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Age (as of June 3, 2018) ***Kid Engineering Camp is for ages 8-10 only*** *
Notes/Allergies/Special Instructions
Your answer
Which Camp are you registering this child for? *
Parent/Guardian Name *
Your answer
Contact Phone Number *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
Your answer
A copy of your responses will be emailed to the address you provided.
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