River Road Church, Baptist - Vacation Bible School Registration 2019
VBS: July 15-19, 2019, 9AM - Noon
Please complete this form for each child you are registering. (If you are registering more than one child, you must fill out this form individually.) If you have any questions, please email vbs@rrcb.org. Please register by June 30. (www.rrcb.org/vbs)
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Child's Information
Child's Last Name *
Child's First Name *
Child's Birthday *
MM/DD/YEAR (e.g. 03/27/2009)
School Grade Completed in June *
Note: Children who completed JK will be in a VBS class with children who completed Kindergarten.
Does your child have any allergies or special needs? *
If you answered yes to the above question, please list or describe them below.
I grant permission to River Road Church, Baptist to use any photographs, motion pictures, recordings, or any other record of this event for legitimate purpose. *
Please select your Yes or No choice, and initial in the Other field.
Required
Parent & Emergency Contact Information
Parent/Guardian Name *
First and Last Names
Parent/Guardian Street Address *
Parent/Gardian City, State, & Zip Code *
ex: Richmond, VA 23229
Parent/Guardian Preferred Phone Number *
Please include area code.
Parent/Guardian Alternate Phone Number *
Please include area code.
Parent/Guardian Email *
May we add your email address to our Children's mailing list so you can learn about other children's events and activities at River Road Church, Baptist? *
Is your family looking for a church home, and would you like the Minister to Children to contact you?
Clear selection
Emergency Contact Name *
Person other than parent/guardian.
Emergency Contact Phone Number *
Please include area code.
Emergency Contact Relationship to Child *
I understand that I am required to fill out a Medical Release Form for the child I am registering. [Please initial.] *
Please print this form and bring it on the first day of VBS: https://rrcb.org/wp-content/uploads/2018/04/Medical-Release-Form.pdf
Volunteering
Childcare is provided for volunteers with children under 4.
Are you willing to volunteer during VBS? *
If yes, what days you're available?
Please check all that apply.
Do you have a child under 4 who will need childcare?
Clear selection
Do you have a middle school or high school student that would like to volunteer? *
I understand that if I participate as a volunteer, I will be required to fill out a background check form. [Please initial.] *
Submit
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