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Rocky Railway VBS 2020

Household / Adult Primary Contact

Thank you for your interest in our 2020 VBS, we are now currently on a waitlist. Please fill out the form below and your child/ren will be placed on the waitlist and you will be contacted when a spot becomes available.

I understand that I am being added to the VBS waitlist *

I understand

Relationship to Participants: *

Parent

Grandparent

Other Other

First Name *

Last Name *

Address 1 *

City *

State *

Zip *

Home Church *

Phone *

Email Address *

Would you or a student 6th grade or older be willing to serve and help out this year? *

Yes

No

Need More Info

Participant Information

Participant 1

Child First Name *

Last Name *

Age *

Grade Completed *

Known Allergies

Has the Child attended VBS at Grace Community Before? *

Yes

No

Next Child

Done

Participant 2

Child First Name *

Last Name *

Age *

Grade Completed *

Known Allergies *

Has the Child attended VBS at Grace Community Before? *

Yes

No

Next Child

Done

Participant 3

Child First Name *

Last Name *

Age *

Grade Completed *

Known Allergies *

Has the Child attended VBS at Grace Community Before? *

Yes

No

Someone other than myself may pick my Child or Children up *

Yes

No

If more than 3 Children please fill out a Second Registration

Approved Pick up list

Name (First) *

Name (Last) *

Relationship *

Name (First and Last)

Relationship

Name (First and Last)

Relationship