VBS Sign Up | Causeway

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Register for
Awesome Animals
July 21-25 | 9am-noon | Ages 5-11

(1) Child's Name

(1) Age of Child (as of Sept 2024)

(1) Grade (going into)

(1) Allergies / Health Concerns

Sign up a second child

(2) Child's Name

(2) Age of Child (as of Sept 2024)

(2) Child's Grade (going into)

(2) Allergies / Health Concerns

Family Information

Parent / Guardian Name

Parent / Guardian Address

City

Postal Code

Parent / Guardian Primary Phone

Parent / Guardian Secondary Phone

Parent / Guardian Email

Emergency Contact

Emergency Contact Name

Relationship of Emergency Contact

Emergency Contact Phone

My Child May Be Picked Up By

Phone of Chaperone

E-transfer available: donations.causeway@gmail.com

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Causeway Christian Assembly
(705) 954-2054

1307 Yankee Line,

Ennismore, ON

K0L 1T0

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