Food Truck Party Vacation Bible School (June 27th-July 1st from 9am to 12pm) First Presbyterian Church of Rockaway
Registration Form
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Email *
Child's Name *
Nickname/Preferred Name
Parent/Guardian Name *
Address *
Telephone Number(s) *
Child's Age *
Child's Date of Birth *
Gender *
School Grade Entering *
Home Faith Community (if any)
Emergency Contact (if parent/guardian cannot be reached) Name, Telephone, Relationship to Child *
Allergies/Medical Needs (if none please put NONE) *
Person(s) authorized for picking up this child at the end of the day: Name(s) and Telephone Number(s) *
Anything special we need to know about your child?
Shirt Size (indicate child/adult) *
One friend my child would like to be with
Special Needs classification & or circumstances
We will be taking pictures during the week. We need your permission to take pictures of your child, put them on our PowerPoint Presentation for the final day, and our church website.
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Signature (type) *
Payment (Due at Registration) *
Would you be interested in volunteering for VBS?
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A copy of your responses will be emailed to the address you provided.
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