• When: Monday-Friday, June 10-14, 2019

  • Time: 9-11:40am

  • Where: Faith Church of Christ (St. Rd 29, South edge of Burlington)

  • Who: Children ages 4 years through completed 6th grade

**For security purposes, each child will have a wristband with a 4 digit security code. This code will be the last 4 digits of your phone number. Whoever picks up your child must know this 4 digit code.

Child's Name *
Child's Name
Address *
Parent's Name *
Parent's Name
Parent's Phone #
Parent's Phone #
Grade Completed *
Emergency Contact Phone # *
Emergency Contact Phone #
Someone your child would like to be with of the same age.

Any questions, call Tammy Scott at 765-863-1796.