St Mark's Vacation Bible School

Camp Calumet at St. Mark Registration Form

(one Form for each child registering please)

Child’s Name:______________________________ Child’s Age_______

Last School Grade completed______

Parent/Guardian Name________________________________________

Address___________________________________________________

Home telephone:____________________ Cell phone:_______________

Home email address:_________________________________________

In Case of Emergency (when parent/guardian cannot be reached) Contact:

Name_____________________________ Phone__________________

Relationship to child:_________________________________________

Please list any allergies (including food) the VBS staff should be aware of

________________________________________________________

Person Responsible for picking up this child at the end of each VBS day:

Name________________________________ Phone______________

Parent/Guardian Signature____________________________________

Save The Date!

Calumet Vacation Bible School will join us again this summer for our children’s favorite summer camp.

Keep this week open and tell your friends that all are welcome!

JULY 5TH –JULY 9TH FULL DAYS!

Cost is $100 per child