VBS 2023 | Rock Springs Baptist

Child's First & Last Name

Parents/Guardians Name & Email Address

Address

Phone

Child's Birthdate including year

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