VBS-Summer Day Camp – Cornerstone Baptist Church

Name of Parent or Guardian *

First

Last

Phone Number *

Please enter your phone number.

Email

You may provide your email address, if you would like.

Address *

Please enter your address.

First Child's Name *

First Child's Age *

Select your child’s age.

First Child's Grade in September *

Second Child's Name

Second Child's Age

Select your child’s age.

Second Child's Grade in September

Third Child's Name

Third Child's Age

Select your child’s age.

Third Child's Grade in September

More than 3 Children Registering? Enter their Names and Grade Levels Here.

Home Church

Enter the name of your home church; if no church affiliation, leave blank.

Transportation Needed? – Busing is available for some areas of Newmarket *

If you check yes, we will contact you to confirm.

Special Instructions/Questions

Please enter any questions you may have.