RCC VBS Registration
Register your child for an EXCITING week of Vacation Bible School at Rosendale Christian Church.
VBS is every evening July 29-August 2 from 5:45 pm - 8:30 pm. This year a light meal will be provided for kids and staff. There will be a program Sunday, August 4 at 10 am for all to attend. Please submit a separate form for each child that is attending.
Email address *
Child's first name *
Your answer
Child's last name *
Your answer
Child's gender *
Child's Age *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Last School Grade Completed *
Name of Parent's/Gaurdian's *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Phone# *
Your answer
Secondary Phone #
Your answer
Home Church
Your answer
Allergies, Food Allergies, or other medical conditions *
If yes, please give detailed explanation:
Your answer
Emergency Contact Information:
Emergency Contact Name: *
Your answer
Phone: *
Your answer
Relationship to Child *
Your answer
A copy of your responses will be emailed to the address you provided.
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