Cameron Baptist Church June 5th – 9th, 2022 from 9 AM to 12 PM each day for ages 3 years old up to 6th grade Child's Name *Parent/Guardian Name *Address (street, city, state, zip) *Mailing Address (if different) Contact Phone (please include area code) *Home Phone Work Phone Email Child's Birthdate (month/day/year) *Child's last grade completed in school. *Medical or other information we need to know. (please include any food allergies) *Emergency Contact 1 (include name and contact #) *Emergency Contact 2 (include name and contact #) Dismissal Information: Who may pick up your child at the end of each VBS day? *Other Information: Do you attend church anywhere? If so, where? Please, if you have any questions or concerns, add them here. NameSubmit