First Presbyterian Church
224 Barnwell Avenue NW
Aiken, SC  29801
803.648.2662

   

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First Presbyterian ChurchFull
224 Barnwell Avenue NW, Aiken, SC  29801
803-648-2662

 

July 12 - 16, 2010

9:00 a.m. - Noon

 

 

We are sorry, but the Mission Camp is full.

Click here to register 4(K) through Rising 4th Grade

 

(One per child)

Rising 5th and 6th Grades

Child's Name:      Gender: 

Date of Birth:    Grade entering 2010/2011:      T-Shirt Size: 

Parents/Guardian:    Home Phone Number: 

Address:      City:     Zip:     

Parent/Caregiver Cell Phone:     (In the event of an emergency we will call this number first)

Email: 

In addition to the above listed parent/caregiver, please list anyone else who is authorized to pick up your child:

Name:     Phone:   Relationship: 

Name:     Phone:   Relationship: 

Name:     Phone:   Relationship: 

Emergency Contact:  Name:     Phone: 

Allergies or other medical conditions: 

Family Dr./Hospital preference: 

Home Church:    Would you like a staff person to call? 

Would you be willing to volunteer to help with VBS this year? 

Comments for VBS Staff: 

A copy of your insurance card and a signed permission slip is required for participation. A permission will be mailed once your registration is processed.