First Presbyterian Church Rocky Railway VBS Student Registration July 11– 15, 2022 9:30 AM-12 PM Three years - 5th grade Question Title * 1. Child’s name: Child #1 Child #2 Child #3 Child #4 Child #5 Question Title * 2. Child’s age Child #1 Child #2 Child #3 Child #4 Child #5 Question Title * 3. Last school grade completed Child #1 Child #2 Child #3 Child #4 Child #5 Question Title * 4. Friends attending Question Title * 5. Parent/guardian name(s) Question Title * 6. Primary phone number Question Title * 7. Alternate phone number Question Title * 8. Names of individuals authorized for pickup. Include contact information Question Title * 9. Food allergies or special needs Question Title * 10. Emergency, Contact Including name and phone number Question Title * 11. I give permission for my child to be photographed during VBS at FPC. Yes No Question Title * 12. I would like to be a volunteer on a particular day, time or the week Done
