Camper's Name (required)

Address
Home Phone (required)
Your Email (required)

Age at camp
Date of Birth
Gender
Preferred Pronoun (He/She/They)
Counselors only: School grade in Sept 2024
Parent/guardian name and phone number
Parent/guardian name and phone number
Special needs: Allergies, educational needs, etc.)
Friend request (children are grouped by age, but we do our best to accommodate requests to be with a sibling or friend):
IN CASE OF EMERGENCY: if parent cannot be reached, contact (include phone number):
Please submit registration form along with fee by June 30. Fee can be paid online (see "VBS Payment" button adjacent). Checks should be made out to Concord Church, memo: VBS 2024, and mailed to Concord Church, 1800 Fairfax Blvd, Wilmington, DE 19803, ATT: Christina Pressley
Click the "Submit" button to register.

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