Round Hill Baptist Church VBS 2009
Do you currently
attend a church?
If yes, where?
In the event of an emergency, whom do we call?
Who may pick up your child(ren) at the end of the day?
FAMILY
Parents' Names:
Mailing Address:
City, State Zip:
Home Phone:
E-mail:
CHILDREN 
3 Years thru 6th Grade
Name:
Age:
Birthdate:
School grade:
(Completed
6/09)
FOOD ALLERGIES
and Needed Medical Information
Child #1
Child #2
Child #3
Child #4
Confirmation
You will receive a Registration Confirmation via email within a day or two.
CD's will be available to purchase during the week of VBS, for $5.00
July 13th - 17th
6:00pm-8:00pm
YesNo