Summer Day Camp Registration Form 2025 (Ages 5-12)

General Information

Day Camp will be running from July 14-18th from 9 AM-12 PM
(Ages 5-12) (Kindergarden to Grade 6)

Only one child can be registered at a time.

Early-bird fee: $60.00 per child. (March-April)
Regular rate: $70.00 per child. (May-June)

Child's Name

Parent/Family/Guardian Name

Address

This address will receive a confirmation email

Home Phone

Cell Phone

Work Phone

Child's Birthdate

Child's Age

Last Grade of School Completed

Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6

Home Church (if any)

Friends of your Child at this Church

Special Needs/Allergies/Medical Information/Other Info we Need to Know about your Child

Info to Protect Your Child

Contact #1: First and Last Name

Contact #1: Phone Number

Contact #2: First and Last Name

Contact #2: Phone Number

Name(s) of person(s) who may pick up this child from VBS

Photo Release By checking this box I give Gospel Centre Church permission to use my child's photograph publicly in Day Camp materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media.

Parent/Guardian's Signature

Date

Want to volunteer to help with our 2025 Day Camp and impact the lives of the children as they grow in relationship with God? Then click this link and let us know how you would like to participate.

Payment 70.00 CAD

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

July 14- 18th, 9 AM - 12 PM

Please fill out this form and click submit.

Summer Day Camp Registration Form 2025 (Ages 5-12)

Description

Please Fix the Following