Our Lady of Victory

Vacation Bible Camp Registration Form

Summer 2006

 

Please Indicate Session

 

Session 1: July 3rd-July 13th

 

Session 2: July 24th- August 3rd

 

Camp Days and Time: Monday- Thursday

                                      9AM – 12PM

 

 

 

Participant

 

Name of Child _____________________       Phone ______________________

 

 

 

Address ___________________________    Email ______________________

 

 

 

Date of Birth ______________            Age _________           T-Shirt Size _______

 

 

 

School ___________________           Grade _______

 

 

 

 

Parent/ Guardian

 

 

Name ___________________            Phone ________________________

 

 

 

Emergency Contact ___________________               Phone ____________________

 

 

 

Signature ___________________________