ALBC Spring Break Day Camp Registration 2017
Date: March 27 - 31, 2017
Address: Abundant Life Baptist Church (ALBC) 1396 Plessis Road Winnipeg, Manitoba
Contact us at: (204) 222-7671 or camp_question@hotmail.com
Camper's Name
Your answer
Address
Your answer
Sex
Date of Birth
Your answer
Age
Your answer
Grade
Your answer
Personal Health Number (9 Digit)
Your answer
Personal Health Number (6 Digit)
Your answer
Allergies or Medical Conditions
Your answer
Any Medications, Dietary Needs or Restrictions
Your answer
Family Physician
Your answer
Physician's Phone Number
Your answer
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