To Mars and Beyond VBS Registration
Richmond Hill Baptist Church
July 14 - 18, 2019
6pm - 9pm

Please complete 1 registration per child

Child's Name *
Your answer
Birthday *
MM
/
DD
/
YYYY
Age *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Home Phone Number
Your answer
Parent/Guardian Cell Phone Number *
Your answer
Parent/Guardian Email Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Food Allergies
Your answer
Medical Concerns
Your answer
Vacation Bible School (VBS) leaders have permission to photograph/film the minor designated above for any lawful purpose associated with this VBS program. Please type your name below to accept.
Your answer
Please list any other information you wish for the volunteers of RHBC to know about your child
Your answer
Submit
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