Please complete the following form for Summer Camp & VBS registration Summer Camp and Vacation Bible School Child's Name * First Name Last Name Parent's Name * Contact One First Name Last Name Email * Phone * (###) ### #### Parent or Guardian's Name Contact Two First Name Last Name Email Phone (###) ### #### Date * Child's Birthdate MM DD YYYY Child's Age * Gender * Does child have any special circumstances, allergies, chronic illnesses? * If yes, please explain Please enroll my child in: June 23-27: Big Top Circus June 30-July 3: A STEM Summer July 7-July 11: Shark Week July 14-July 18: Let's Get Cooking! July 21-July 25: Little Naturalists July 28-August 1: VBS-Created to Be... * Signature (required) By signing this form electronically, I attest I am the parent/guardian of the above-named child. I am the person whose name appears below, responsible for payments and will contact the school to make a deposit. Thank you! Please contact the office at 201.261.0426 to arrange for deposit for Summer Camp at 50% of total fee. See you in the summer.
