Welcome to:
Camp High Hope
The Story
of Daniel
Please register ASAP. Fill out this form online
, or print and send this form to St Paul's Office.
Please use one form per child. Thank you!
July 21 - July 25, 2008
St Paul's Episcopal Church 5:30 - 8:15 p.m.
Name:
Age:
(Must be 4+ by September 1, 2008) Grade (Fall 2008):
Preschool
K
1-2
3-5
Parent's names:
Address:
Home Phone: (
)
-
Work Phone 1: (
)
-
Work Phone 2: (
)
-
Cell Phone 1: (
)
-
Cell Phone 2: (
)
-
Doctor:
Phone (
)
-
Allergies or special conditions:
Emergency Contacts:
Name:
Phone (
)
-
Name:
Phone (
)
-
Please Provide Names of Anyone Willing to Volunteer:
Teens (Rising 6
th
Grade and up):
Adults:
T-Shirt size: Child: M
,
L
, or XL
Adult: S
, M
, L
, XL
, or XXL
I authorize VBS staff to make decisions necessary in the event of an emergency
and if I cannot be contacted.
Parent(s) signature(s): ____________________________________