MAKER FUN FACTORY VACATION BIBLE CAMP REGISTRATION

JULY 10–14 | 9AM–NOON | AGES 4-YEARS-OLD TO 6TH GRADE

Please answer each question and click SUBMIT to complete your registration. You'll be promptly redirected to the payment page, which will allow you to pay online with credit card or direct deposit. If you wish to pay by check or cash, please drop off your payment at the church office during business hours.

PLEASE NOTE: Our pre-school section of VBC is filled. As a result, we cannot take any more 4 or 5-year-olds. All other grades still have vacancies, however, so sign-up now!

CHILD INFORMATION
Child's Name *
Child's Name
** PLEASE NOTE: PRE-SCHOOL SECTION IS FILLED **
Birth Date *
Birth Date
Name of Buddy
Name of Buddy
If your child will feel more comfortable paired with a buddy during Vacation Bible Camp, please indicate the friend's name here.
Birth Date
Birth Date
Name of Buddy
Name of Buddy
If your child will feel more comfortable paired with a buddy during Vacation Bible Camp, please indicate the friend's name here.
Child's Name
Child's Name
Birth Date
Birth Date
Name of Buddy
Name of Buddy
If your child will feel more comfortable paired with a buddy during Vacation Bible Camp, please indicate the friend's name here.
PARENT INFORMATION
Parent's Name *
Parent's Name
Address *
Address
Cell Phone *
Cell Phone
Home Phone
Home Phone
AUTHORIZATIONS & ADDITIONAL CONTACTS
Authorized Person Phone *
Authorized Person Phone
Authorized Person Phone
Authorized Person Phone
Emergency Contact Phone *
Emergency Contact Phone
Doctor's Phone *
Doctor's Phone
Publicity Release *
I authorize St. Andrew’s Redondo Beach to capture and use pictures of my child(ren) for promotional purposes including website, print, social media, and other publicity formats as needed. I understand that names of underage children will be omitted at all times, and I have the right to contact the church and ask a picture be removed for reasons of privacy.
FINAL COUNT & COST
Number of Children *
NOTE: Discounted prices for multiple children only applicable for members of the same family.
Please fill out the amount you'll be paying based on your selections above. Payment page will appear after clicking "Submit."
$