Student Form | Digital Tools by Answers in Genesis

Family Information

Address

Street

Street 2

City

State/Province

Postal Code

Parent/Guardian First Name

Parent/Guardian Last Name

Primary Phone

Alternate Phone

Emergency Contact

Please indicate an emergency contact name and phone number.

Emergency Contact

Relationship to Student

Phone Number

Alternate Pickup Person

Please indicate another person who may be picking up your camper. Anyone who is not the parent/guardian or listed on the registration form will NOT be able to pickup a camper without written consent. No exceptions.

Alternate Pickup Name

Alternate pickup relationship to camper

Alternate Pickup Phone Number

Other Information

What is your current Church affiliation (if applicable)?

How did you hear about our VBS?

Register for VBS

at Westminster Chapel at High Park

Family Information

Address

Emergency Contact

Alternate Pickup Person

Other Information

Student Information

Medical Information

Payment

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