Please fill out the following form to register for SCC's High Seas Expedition VBS for summer 2010!
First and last name of child:
Street address:
City, State, Zip:
Home telephone:
Email:
Age of child:
Last school grade completed:
In case of emergency, contact:
Phone number of emergency contact:
Name of mother (or legal guardian):
Name of father (or legal guardian):
Allergies or other medical conditions:
Home church:
Name of a special friend your child might like to be grouped with:
Additional comments:
