Bella Vista Community Church
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Summer Arts
& Science Camp
Monday — Friday, July 14 — 18
8:3
0 — 11:30 AM
Ages 6 —12
Registration opens Monday, May 12.
Registration ends Friday, June 27.
Please fill out the form below or the
PDF . Also, printed copies
are
available in the church office.
*Our volunteers are background checked*
Click here for pdf version
Please fill out the form below.
Parent/Guardian First Name(s)
Last Name
Address 1
Address 2
City
State
Zip/Postal Code
Country
Cell Phone Number
Home Phone Number
Email Address
Emergency Contact First Name
Last Name
Emergency Contact Phone Number
Emergency Contact Relationship
Child's First Name
Child's Last Name
Child's Age
Gender
Male
Female
Select T-Shirt Size
Youth Small
Youth Medium
Youth Large
Other (Call our office)
Allergies
Medications
Any Additional Information
Permission to use Child's Photograph Publicly
Yes
No
CLASSES OFFERED: Water Color Painting; Clay Sculpture; Music/Drama; STEAM; Yard Art; Rock Painting; Joy of Flight (Airplanes); Science Investigation
Please Type Top 3 Choices — Campers will only attend 2 classes throughout the week. We will try to accommodate camper's top 2 choices.
2nd Child's First Name
Last Name
2nd Child's Age
Gender
Male
Female
Select T-shirt size
Youth Small
Youth Medium
Youth Large
Other (Call our office)
Allergies
Medications
Any Additional Information
Permission to use Child's Photograph Publicly
Yes
No
CLASSES OFFERED: Water Color Painting; Clay Sculpture; Music/Drama; STEAM; Yard Art; Rock Painting; Joy of Flight (Airplanes); Science Investigation
Please Type Top 3 Choices — Campers will only attend 2 classes throughout the week. We will try to accommodate camper's top 2 choices.
3rd Child's First Name
Last Name
3rd Child's Age
Gender
Male
Female
Select T-shirt Size
Youth Small
Youth Medium
Youth Large
*Other (call office)
Allergies
Medications
Any Additional Information
Permission to use Child's Photograph Publicly
Yes
No
CLASSES OFFERED: Water Color Painting; Clay Sculpture; Music/Drama; STEAM; Yard Art; Rock Painting; Joy of Flight (Airplanes); Science Investigation
Please Type Top 3 Choices — Campers will only attend 2 classes throughout the week. We will try to accommodate camper's top 2 choices.
Submit