Child's Name: 
Address:
City/town:    Zip Code: 
Phone:   
Grade entering in fall:
Church:
Parents' Names:
Emergency contact person:
Emergency contact phone #:
Any food allergies?
Any medical condition condition that we need to know about?

We warmly welcome all children, if your child has any special needs,
please make us aware. We have trained workers ready to serve!

How did you learn about VBS Soccer Camp?