VBS Registration 2017
RFBC Galactic Starveyors VBS
Childs first name *
Your answer
Childs Last Name *
Your answer
Childs Age *
Your answer
Date Of Birth *
Your answer
Last Grade Completed *
Your answer
Name Of Parent(s) *
Your answer
Phone Number *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Health Concerns *
Your answer
Pick-Up Other Than Parents
Your answer
Do you normally attend church? *
Where do you attend church? *
Your answer
Are you looking for a church? *
Permission to photograph the child? *
Permission to use photos for publicity purposes without using names? Please bring signed release to the church. *
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This form was created inside of Rochester First Baptist Church. Report Abuse - Terms of Service - Additional Terms