RBC Student Ministries Registration 2017-2018
Please fill out a separate form for each child. At the end of the form, you can check the boxes for all the student ministries that you are registering your child for.

*Privacy policy: For the security of your personal information, the data collected will only be accessed by our Full Time Elder, Sunday School Superintendent, and Registrar. It will always be password protected and will not be made available to third parties.

Last Name of Child
Your answer
First Name of Child
Your answer
Age of Child
Your answer
Entering Grade at School
Your answer
Parent(s) Name(s)
Your answer
Home Address (please include city & zip code)
Your answer
Parent E-mail Addresses
Your answer
Parent Cell Phone #
Your answer
Please list any allergies or physical restrictions
Your answer
Please check box if you are registering for
Please check box if you are registering for
Please check box if you are registering for
Please check box if you are registering for
Please check box if you are registering for
Please check box if you are registering for
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