RCC VBS Registration
Register your child for an EXCITING week of Vacation Bible School at Rosendale Christian Church.
VBS is every evening May 21-25 from 6pm - 8pm. There will be a program Sunday, May 27 at 10 am for all to attend. Please submit a separate form for each child that is attending.
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
Email address
Your answer
Home Church
Your answer
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
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms