RVC VBS Registration 2018
Welcome to RVC Vacation Bible School! We are so excited that you will be joining us this year! VBS will be held on July 9-12 from 6:30-8 pm at Rennebohm Park in Madison, WI. Please fill out a separate form for each child.
First Name *
Your answer
Last Name
Your answer
Gender *
Grade Entering *
Your answer
Birthday *
MM
/
DD
/
YYYY
Allergies
Your answer
Medical Concerns
Your answer
Comments
Your answer
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Email Address *
Your answer
Home Address *
Your answer
Zip Code *
Your answer
Phone number *
Your answer
Alternate Pickup Name *
Your answer
Alternate Pickup Phone *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone *
Your answer
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