Join us for our Church Summer Camp the week of June 18-22, 2018 from 9am-12pm. 

Church Summer Camp is free and open to all children ages 3 years old to 6th grade.

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Child's Name *
Child's Name
Child's Birthday *
Child's Birthday
(If child is 3 years old to kindergarten, please enter 0)
Parent / Guardian Name *
Parent / Guardian Name
Parent / Guardian Phone *
Parent / Guardian Phone
Home Address *
Home Address
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
I consent that the child listed above has my permission to attend Vacation Bible School at West Austintown First United Methodist Church, 6749 Mahoning Ave., Austintown, Ohio 44515 on June 18-22, 2018 *