VBS 2023 | Rock Springs Baptist

Child's First & Last Name

Parents/Guardians Name & Email Address

Address

Phone

Child's Birthdate including year

Age or Grade just completed

Does child go to Sunday School anywhere? If so, where?

Medical or other information we need to know: (Please include any allergies, particularly food allergies.

In the event of an emergency, whom do we call? Please give to contact names and phone numbers where they may be reached:

Who may pick up your child at the end of VBS each day? Please give names of anyone who you think will need to pick up your child?

Anchor 1