SUMMER REGISTRATION Student Information Student Name * First Name Last Name Grade Completed * Student Age * Date of Birth * MM DD YYYY Shirt Size * Event * Which event will the student attend? VBS Sports Camp Cooking Camp Is there a friend your child would like to be with? Additional Information Emergency Contact * First Name Last Name Email * Phone * (###) ### #### Allergies/Medicine Does the student have any food allergies or take any medicine? Pickup Authorization Thank you!
