2021 VBS Registration
Please complete this digital registration form to register your child for VBS 2021. Payment must be submitted via our website, at our office, or at the Children's Ministry Kiosk during service at Rock City Church. Our office is open Monday-Friday from 9:30 a.m. to 9:30 p.m. We are located at 1607 Cromwell Bridge Rd. Baltimore, MD 21234. You may also call 410-882-2217 and ask for the Children's Ministry Director to learn more about Vacation Bible School.
1st Child's Full Name & (Age) *
2nd Child's Full Name & (Age)
3rd Child's Full Name & (Age)
4th Child's Full Name & (Age)
Parent/Legal Guardian's Full Name *
Phone Number *
E-mail Address *
Full Mailing Address *
Name of Emergency Contact *
Emergency Contact's Phone Number *
The following person(s) have permission to pick up my child from Vacation Bible School. Please list their full names. *
Do any of the above named participants have allergies, medical concerns, or medication needs? If so, please explain or write "None" if this does not apply. *
By typing your name below you are acknowledging your agreement with the following liability statement: "As the parent/legal guardian of the above-named minor(s), I give my permission for him/her to participate in any and all activities, events, and programs at the Rock City Church Vacation Bible School. In the event of a medical emergency, I authorize a representative of Rock City Church to transport my child to the nearest medical facility for treatment or call 911. By signing below, the participant (or parent/guardian, if participant is a minor) acknowledges and accepts the risk of illness or physical injury associated with participation in the activities described above. I accept personal financial responsibility for any illness or bodily or personal injury sustained during the activity. Further, the participant (or parent/ guardian) promises to hold harmless the Rock City Church and its representatives for any illness or injury related to the activity. I understand that I am fully responsible for all legal and court costs should I pursue action against Rock City Church and/or its representatives. I understand that registration fees collected are not refundable for any reason. *
Payment Method (I will pay using the following method) *
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