Camp Firelight 2024 VBS: A Summer Camp Adventure with God Sunday, June 2nd to Thursday, June 6th
Participant Registration Form (One Per Child)
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Child's Name *
Child's Age *
Date of Birth *
MM
/
DD
/
YYYY
Grade Entering *
What days of VBS will you be attending?
Name of Parent(s) *
 Street Address *
City *
State *
Zip Code *
Phone Number 1 *
Phone Number 2 *
Email Address *
Home Church *
Allergies or Other Medical Conditions/Special Needs *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact- Relationship to Child *
First Presbyterian Church of Effingham and Centenary United Methodist Church of Effingham have my permission to use my Child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
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Lunch Program- Will the participant be joining us for lunch following VBS (or taking a lunch with them)?
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Please mark the days that you will be joining us for lunch, or taking a lunch with you. 
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