Register a Camper for Camp Firelight - 2024 Vacation Bible School

Participant Name(Required)

First Last Nickname

The full first name/given name and last/family of the individual who will attend VBS

Participant Preferred Pronouns

Grade entering in September 2024(Required)

The grade of the individual who will attend VBS or if they are an adult participant.

Particpant Birthdate(Required)

Participant Address(Required)

Street Address City State ZIP Code

Does the participant have any allergies, limitations, disabilities, or conditions that the Counseling Staff should be aware of to support them during the VBS experience? Should this individuals's participation be limited for any reason? Is there any additional information about this participant the VBS leaders should know? If so, please explain.

Parent/Guardian Name(Required)

First Last

Parent/Guardian Phone Number (during VBS)(Required)

Parent/Guardian Email(Required)

Enter Email Confirm Email

Email address for parent/guardian where materials and information regarding VBS can be sent

Additional Parent/Guardian Name

First Last

Additional Parent/Guardian Phone

Emergency Contact Name (available during VBS)(Required)

First Last Relationship to Participant

Emergency Contact Name (available during VBS and is not Parent/Guardian)(Required)

First Last Relationship to Participant

Name(s) of the person(s) who may pick up the participant from VBS(Required)

Emergency Contact Phone Number (during VBS hours)(Required)

Home Congregation(Required)

How did you hear about this VBS?