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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