* 1. Children's names and ages (children who have completed JK-Grade 5)

* 2. Please enter your contact information.

* 3. Who should we contact in the case of emergency? How should we contact this person/these people?

* 4. A snack will be served each day at the Vacation Bible Camp. Does your child have any food allergies or other relevant medical conditions?

* 5. How did you hear about us?

* 6. Do you have any other comments or questions?