Round Hill Baptist Church VBS 2011
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 5th Grade
Name:
Age:
Birthdate:
School grade:
(Completed
6/11)
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.
Home
July 11th - 15th
9:00am-12:00pm
Yes
No
Name Age Birthdate MM/DD/YR Grade
child's name > allergy
You will receive a Registration Confirmation via email within a day or two.
You will receive a Registration Confirmation via email within a day or two.
