2022 Rocky Railway VBS Registration

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For Vacation Bible School on June 13th - 17th at Lynside Mennonite Church (co-hosted by Greenmonte and Springdale Mennonite Churches)

Child's Name *

Child's Gender *

Male

Female

Date of Birth *

Child's Age as of 6/13/22 *

Last School Grade Completed (in May/June 2022) *

Name of Parent(s): *

Address, City, & Zip *

Home Phone:

Parent/Caregiver's Mobile Phone: *

Home Email Address:

Home Church

Will your child be eating dinner at VBS (5:30pm daily)? *

Yes

Maybe

Allergies, Medical Conditions, or other special needs: *

In case of emergency, contact (Name & phone #): *

Relationship to child: *

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