Vacation Bible School at Cameron FBC
July 14th - 19th (6-8 PM)
202 E. Ford St. Cameron, MO 64429
Contact us at (816) 562-7251 or scott@cameronfbc.org
Section 1: Child Registration
You may sign up between 1-4 children in this section. When you have finished, you may skip ahead to Section 2.
Child #1's Name *
Your answer
Birthday: *
MM
/
DD
/
YYYY
Mother's Name and Phone Number: *
Your answer
Father's Name and Phone Number: *
Your answer
Grade completed in 2018-2019 school year *
Child's Medical Information / Food Allergies? *
Your answer
Child #2's Name
Your answer
Birthday:
MM
/
DD
/
YYYY
Mother's Name and Phone Number:
Your answer
Father's Name and Phone Number:
Your answer
Grade completed in 2018-2019 school year
Child's Medical Information / Food Allergies?
Your answer
Child #3's Name
Your answer
Birthday:
MM
/
DD
/
YYYY
Mother's Name and Phone Number:
Your answer
Father's Name and Phone Number:
Your answer
Grade completed in 2018-2019 school year
Child's Medical Information / Food Allergies?
Your answer
Child #4's Name
Your answer
Birthday:
MM
/
DD
/
YYYY
Mother's Name and Phone Number:
Your answer
Father's Name and Phone Number:
Your answer
Grade completed in 2018-2019 school year
Child's Medical Information / Food Allergies?
Your answer
Next
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