Holy Spirit Vacation Bible School Camper Registration June 22-26, 2020 6:30-8:00 pm Monday **Family Night 9 am - noon Tuesday-Friday (campers only) $30 per child; make check payable to Holy Spirit Church
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Date of Birth (must be 3 yrs old by 1/1/2020) *
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Child's Gender *
Grade Entering Fall of 2020 *
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Is your family registered at Holy Spirit Church *
Mother's Name *
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Mother's Cell Phone Number *
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Father's Name *
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Father's Cell Phone Number *
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Home Email *
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Home Address *
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City *
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Child's T-shirt size *
Zip code *
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Please indicate how many adults in your family will be attending Family Night on Monday, June 22 from 6:30 - 8:00 pm. *
Your answer
Please indicate how many youth (gr. 6-12) in your family will be attending Family Night on Monday, June 22 from 6:30 - 8:00 pm. *
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Please indicate how many children ages 3 years - Grade 5 in your family will be attending Family Night on Monday, June 22 from 6:30 - 8:00 pm. (3 years old by 1/1/2020) *
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Please indicate how many children under 3 in your family will be attending Family Night on Monday, June 22 from 6:30 - 8:00 pm. *
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Allergies or other medical conditions: *
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Emergency Contact *
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Relationship to child *
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Emergency Phone Number *
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Person (Name) who will pick up child, and state their relationship to child: *
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Phone number of person picking up child *
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Number of additional Music CDs. One CD per family is included in the registration ($2 per additional CD) *
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A copy of your responses will be emailed to the address you provided.
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