VBS Pre-Registration

Please DO NOT preregister online after Sunday, July 10. Thank you!

Please fill out the following information to pre-register your child for Vacation Bible School.

You must fill out a form & submit for each child. All information is confidential.
Child's Information
Child's First Name:
Child's Last Name:
Age:
Grade Entering:
Sex Male Female
Please provide the following contact information:
Parent/Guardian's First Name:
Parent/Guardian's Last Name:
Street Address:
City:
State:
Zip:
Work Phone:
Home Phone:
Cell Phone:
Emergency Number if different than above:
E-mail:
Regular Church Home:
   
Emergency Person if different than above:
Relationship to Child:
Phone:
   
 
Special instructions, medications, or food allergies

 
Copyright © 2011 [Rockford Baptist Church]. All rights reserved.
Revised: 12/01/11