Camp Out VBS!

Friday, July 21-Sunday, July 23, 2017 at Westminster Church

Your child is eligible for VBS if they just completed any grade from Pre-K thru 5th grade!

Please completely fill out and submit one of the following for each child in your family attending VBS!

Child's Name

First Name

Last Name

Child's Last Completed Grade

Please list any allergies/special needs/concerns you may have for your child:

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Mailing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian Phone Number

(###)

###

####

Parent/Guardian Email Address

Name of Emergency Contact

First Name

Last Name

Phone Number of Emergency Contact (other than listed above)

(###)

###

####

For any questions or concerns, please email our Children's Ministry Director, Jess Williams (jessw@wcpca.org) or call 770.534.1078.