Aberdeen Baptist Church
Secure Online Form
Below is a secure registration form for Aberdeen Summer Kids Club 2017.  All information shared is confidential and will only be used by Aberdeen Baptist Church and Camp personnel for purposes of ministry within the the camp and church.
Online Pre-Registration Deadline is Friday June 23
Summer Kids Club - Aberdeen Baptist Church, Pueblo - June 26-29 - 9:30 a.m.-Noon
Child's First Name:  Last Name:  Middle Name:  Gender: Male  Female 
Address: Email: 
City:  State: 

Zip Code: 

Birthday (mm/dd/yyyy): 

Home Phone: 

Other Phone: 

 Grade Completed:

Church Attendance or Membership:
Mothers Name: 

Fathers Name: 

People Allowed to Pick Up Child:
Emergency Contact:  Emergency Phone:  Visiting with: 
Height and T-Shirt Size