Camp SHINE Vacation Bible School Registration
Parent First Name *
Your answer
Parent Last Name *
Your answer
Cell/Primary Phone Number *
Your answer
Secondary Phone Number
Your answer
Email Address
Your answer
Mailing Address *
Your answer
Name of Emergency Contact should you be unreachable. *
Your answer
Phone Number of Emergency Contact *
Your answer
Would you like to receive updates regarding SHINE youth group at Sciotoville Christian Church? *
If yes, how would you like to be updated?
Will your child/children require transportation to attend Camp SHINE? *
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