SonRock Kids Camp Vacation Bible School Adirondack Community Church 2583 Main Street, Lake Placid NY  (across from the Post Office & Municipal Parking Lot)  (518) 523-3753 August 17-21, 2009 Come one day or all! 9AM-Noon, 4-12 Year Olds Parent’s Night, Friday, August 21, 2009, 6:30 PM It’s Free and it’s Fun!

Mother’s Name____________________I can help yes when?___

Fathers’s Name____________________I can help yes when?___

Address____________________________ City__________________

State_________ Zip__________email__________________________

Church _________________________ Member ? Yes _____ No____

Child’s Name ____________________________ T-Shirt Size_______

Birthdate ______________ Age ____ School Grade Completed ____

Child’s Name ____________________________ T-Shirt Size _______

Birthdate _______________ Age ____ School Grade Completed ____

Child’s Name ____________________________ T-Shirt Size _______

Birthdate ______________ Age ____ School Grade Completed ____

I give my permission for my child/children to be photographed:

yes no

Signed_________________________________________________

Allergies?______________________________________________

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Check out SonRock Vacation Bible School Curriculum

at www.gospellightvbs.com