Open to campers ages 5-11 years old
Camp runs 9 AM to 1:30 PM Monday to Friday August 14-18, 2017
$25 per child payment required with Registration
PAY ONLINE VIA THE "DONATE" PAGE --- CLICK "DONATE" AFTER SUBMITTING REG FORM
NOTE: REMEMBER TO TYPE "for VBS" in the Description box.
REGISTRATION DAY IS SATURDAY JULY 15 from 8 am to 4 pm
during 
OUR ANNUAL FAMILY FUN FAIR FESTIVAL
Ajax Alliance Church, 115 Ritchie Ave., Ajax
Camper's Name:
 *
Camper's Date of Birth
 *
2nd Camper's Name
 
2nd Camper's Date of Birth
 
3rd Camper's Name
 
3rd Camper's Date of Birth
 
Address
 *
Parents/Guardians Name(s)
 
Home Phone:
 *
Cell Phone:
 
Email:
 *
Work Phone
 
Emergency Contact Person:
 *
Emergency Contact Phone:
 *
Method of Payment ($25/Week/Camper)
 *
Cheques Payable to Ajax Alliance Church
Verification Code:
Insert above code:
 * Required


Copyright © 2017  Ajax Alliance Church • Ajax, On • 905-427-6613