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Step 1 - SBC Registration
Please complete the Family Information section in its entirety, and a separate child information block for every child. This is also your opportunity to provide special notes about your child's needs or care. Finally, we will ask you to provide your online authorization regarding care of your child during Bible Camp.
Family Information
Parent/Guardian Name
Home Street Address
City
Zip
eMail
Home Phone
Cell/Alternate Daytime Phone
Emergency Contact Name
Emergency Contact Phone
Home Church Name
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Child #1 Information
Child Name
Birth Date
Age
Grade Completed
Name of friend your child would like in their class (must be in same grade)
Any food allergies or medical concerns? (This is important so we can properly staff and assist your child)
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Child #2 Information
Child Name
Birth Date
Age
Grade Completed
Name of friend your child would like in their class (must be in same grade)
Any food allergies or medical concerns? (This is important so we can properly staff and assist your child)
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Child #3 Information
Child Name
Birth Date
Age
Grade Completed
Name of friend your child would like in their class (must be in same grade)
Any food allergies or medical concerns? (This is important so we can properly staff and assist your child)
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Child #4 Information
Child Name
Birth Date
Age
Grade Completed
Name of friend your child would like in their class (must be in same grade)
Any food allergies or medical concerns? (This is important so we can properly staff and assist your child)
Additional OPTIONAL Information
How did you hear about our program?
REQUIRED Approval
In addition to the parents/guardians named above, the following people have permission to pick up your
child(ren) from Bible Camp (if no one else has permission, leave blank):
By selecting "I Agree" below, I hereby give approval for my child(ren) to attend the North Creek Presbyterian Church Summer Bible Camp, to participate in all activities, and authorize emergency medical care when deemed necessary. I also provide NCPC with my authorization to use photos of my child(ren) for church ministry programs, brochures and web sites (no identifying information will be listed with photographs):
Any other special notes:
