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 Vacation Bible School Day Camp
Monday, July 6 - Friday, July 10, 2015 | 9am-5pm daily
Monday, July 13 - Friday, July 17, 2015 | 9am-5pm daily

Ages 4-13 | FREE
includes FREE activities, breakfast, lunch & snacks

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



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: 

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 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.

Have You Considered Donating?
This year, Vacation Bible School is at TWO locations, for TWO WEEKS, 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.

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