Child's Name *
Child's Name
Parent Name *
Parent Name
Address
Address
Phone *
Phone
Parent's Phone
Parent/Additional Contact for Emergency *
Parent/Additional Contact for Emergency
Parent/Additional Contact Phone *
Parent/Additional Contact Phone
What grade did your child COMPLETE this spring?
Checkbox *
Is your Child coming as a Camper or Crew Member (helper)?
What are the names and ages of siblings attending?
Does your child have any allergies or other concerns we need to be aware of?
If you child has a friend whom they should be placed with, please list that friend's name here.

Registration Fee:  

A registration fee of $10 per child is requested.  Please submit you fee by sending a check to:     

Church In The Cove,  167 Hale St.  Beverly, MA  01915. 

Checks should be made out to "Church In The Cove" with "VBS" in the memo line.

If your family is unable to cover the registration fee, waivers are available.  Please contact the church office for more information.