Thank you for your interest in Vacation Bible School at Rocky Hill Baptist Church. Please fill out this form entirely to register your child for VBS.

Child's Information

Child's Name (required)

Gender
MaleFemale

Age (required)

Child's Birth Date (required)

*Please note that our VBS is open for children who are 3 years old through children who have just completed 5th Grade.*

Last Grade Completed in School (required)

Parent/Guardian Information

Parent/Guardian Name (required)

Address (required)

Contact Information

Email (required)

Home Phone (required)

Cell Phone (required)

Medical Information

Medical or other information we need to know (Please include any food allergies)

Emergency Contacts (Other than listed above)

Name & Phone Number (required)

Name & Phone Number (required)

Will your child be eating dinner at 5:30pm on Monday - Thursday?
YesNo

Dismissal Information

Who may pick up your child at the end of each VBS day?

Other Information

Thank you for bringing your child to VBS at Rocky Hill Baptist Church! We strive to make our church campus a safe environment for kids to come and learn about Jesus Christ. A few important things you may need to know: 1) We will be taking pictures during VBS. We may use these pictures in slideshows, church publications, on the website, for event promotion, etc. 2) In the event of an emergency, medical and/or dental services will be sought (including x-rays, surgeries, examinations, hospital care, etc.). The undersigned agrees to pay all costs and expenses incurred in connection with such medical and/or dental services rendered to any child named on this registration form.

We are excited to serve your family during VBS!

Signature (By typing your name below, you affirm that all provided information is correct, and you agree to RHBC's policies listed under "Other Information"):