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 Vacation Bible School Day Camp
Monday, July 15 - Friday, July 19, 2013 | 9am-3pm daily
includes FREE activities, breakfast, lunch & snacks

Triumph Church - East Campus
2760 E Grand Boulevard
Detroit, MI 48211
(registration closed)
Triumph Church - Admin & Ministry Center
45081 Geddes Road
Canton, MI 48188
(registration closed)

Please note, children must be aged 4 -13. (If your young child is not fully potty trained, a parent will need to stay with the child.)
* - Required Fields

*Parent/Guardian Full Name:  

*Mailing Address: 

*City: *State: *Zip Code:

*Mobile Phone: *Email Address:

* Campus Attending: 
(registration closed)

Child #1: Age: Allergies:
Child #2: Age: Allergies:
Child #3: Age: Allergies:
Child #4: Age: Allergies:
Child #5: Age: Allergies:

*Emergency Contact (Other Than Parent/Guardian:

*Telephone: Alternate Telephone:

In the event of an emergency or non-emergency situation in which medical treatment is required for my child(ren) listed above, as a result of participation with the 2013 Vacation Bible School day camp held at Triumph Church, I authorize the on-site adult leaders, volunteers, and staff members to act as my agent and thereby consent to emergency medical treatment for my child.  I understand that every reasonable attempt will be made to contact me in the event of an emergency.

I, (Parent/Guardian) agree to the above medical release.

Enter the numbers as they
are shown in the image above

Have You Considered Donating?
This year, Vacation Bible School is at TWO locations AND it's a full day! And we still kept it FREE for your children!

FREE meals, activities, crafts, volunteer screening/training and activities all cost resources to provide. Your donations will help offset these costs.