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VACATION BIBLE CAMP REGISTRATION

Date (required)

Family Last Name (required)

Home Address (required)

City/Zip (required)

Primary Phone (required)

Family email

Father full name

Father cell phone

Mother full name

Mother cell phone

Child's full name - list all; birthdates, gender, age, grade 2017-18, list any special needs/allergies of child

All parents are asked to volunteer in at least one area. Please mark areas of interest
Lead a station all weekendCoordinate potluck dinnerHelp at registration

Set upClean upBring a snack item (email with sign up genius link will be sent)

Tuition is $95 for the weekend if registered and paid by April 30. After April the tuition is $100. Please send the check to Saint Ambrose Religious Education c/o Charity Van Maren 2315 Redondo Ave, Salt Lake City, UT 84108. Make checks out to Saint Ambrose. Tuition includes tee shirt and all camp activities.

MEDIA RELEASE: By entering your name and date in the comment section below, you acknowledge and authorize St. Ambrose Parish to use photos of your child/children in the Parish Blog, Website, or Bulletin. This permission is valid for one year from the date signed.

Any additional questions or comments