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FBC Richland | 2019 Sports & Art Camp Registration Form
June 24 - 28 | 6:30-8:30 pm
K5-6th Grade (Completed)
FREE!
Please complete one form for each child.
Child Information:
Child's Name:
Birth Date:
Grade Just COMPLETED:
Please list any allergies:
Pick your top 3 choices for sports that you would like to particpate in. (1st, 2nd and 3rd Choices):
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1st Choice:
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2nd Choice:
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3rd Choice:
No, you do NOT have my permission to use my child's picture in VBS videos and publicity.
Parent Information
First Name:
Last Name:
Street:
City:
State:
Postal Code:
Phone Number:
Email:
Emergency Contact Name and Phone Number:
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