Highland Hallelujah VBS at Rocket Town Church

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Registration

Email *

Parents' Name(s) and Household Phone # *

Address for follow up letter *

Child's Name *

Age *

Grade Level in August 2026 (Next School Year) *

Emergency Contact Information (name and cell phone number that can be reached during VBS) *

Other pertinent details not listed here (allergies, medical needs, etc)

In case of medical or behavioral emergency the volunteers at RTC will attempt to contact the Emergency Contact listed first but in the event of a life-or-injury-threatening situation, they may also call emergency services as deemed necessary for the safety of my child(ren). *

Yes

People Permitted to Pick Up Student Each Night *

Names must match those on ID's or child will NOT be released

Are there other students from the same address to register? *

Yes (if so, please click the link listed after you hit submit to add each additional child)

Send me a copy of my responses.

Submit

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