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2008 Musical Day Camp Sign Up

Please complete this form to register your child for Musical Day Camp at Buffalo Valley Church of the Brethren. All fields are required.

August 18-22, 2008 (Monday-Friday)
9:00 AM to 1:00 PM

Musical Day Camp Fees:
$20.00 for the first child in a family.
$10.00 for each additional child in the same family.

Register Early! This camp has a limited number of slots and fills up quickly.

First Child from the same family ($20):
First Child's Name:
Age:	Sex: Male Female
Grade:
Additional Children from the same family ($10 per child):
Child 2 Name:
Age:	Sex: Male Female
Grade:
Child 3 Name:
Age:	Sex: Male Female
Grade:
Child 4 Name:
Age:	Sex: Male Female
Grade:
Child 5 Name:
Age:	Sex: Male Female
Grade:
Children's Health Information:
Do any of your child(ren) have a medical conditions, allergies or dietary restrictions that we should be aware of? Yes No
If YES, please explain:
Parent/Guardian:
Parent/Guardian:
Address:	City:
State:	Zip:
Phone:
Email:
Comments/Questions:
Please mail your check made payable to "BVCOB" and note your child's name on the check. Buffalo Valley Church of the Brethren ATTN: Musical Day Camp 46 Brethren Church Road Mifflinburg, PA 17844