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Register for Emerald Crossing VBS
Date:
July 6th to 10th, 2026 (Monday-Friday)
Time:
9:30am-12:30pm
Where:
Rowandale Baptist Church, 162 Rowandale Ave.
Cost:
$30 per child, $60 for 2 or more kids
Age:
Born in 2021-2014, Entering K to Gr 6 in Fall 2026
Fill out one form per child
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* Indicates required question
Child's Name
First and Last
*
Your answer
Gender
*
Male
Female
Birth Date
*
MM
/
DD
/
YYYY
Grade completed by June 2025
*
Your answer
Address
Street, City, Province, Postal Code
*
Your answer
Parents/Guardian
First and Last Name
*
Your answer
Work Phone
*
Your answer
Cell Phone
*
Your answer
Email
*
Your answer
Emergency Contact
First and Last Name
*
Your answer
Emergency Contact's relationship to the Child
Your answer
Emergency Contact Phone
*
Your answer
Please place my child with:
Your answer
Name of home church
*if any
Your answer
Food Allergies
Your answer
Medical Concerns
Please provide explanation
Your answer
Personal Health ID No: (9 digit)
*
Your answer
Registration No: (6 digit)
*
Your answer
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