2018 VBS Registration

July 15th-19th, 5:30 - 8:00 PM | Fill out this form and click submit to register for Vacation Bible School for children age 3 years - 5th grade. Join us as we experience the ride of a lifetime with God at the Rolling River Rampage! Dinner is provided.

Contact Information

Parent

*

Email

*

This address will receive a confirmation email

Cell Phone

Home Phone

Address

*

Child 1

*

Child 1 Age

*

Please select one option.

3 4 5 6 7 8 9 10 11 12 13

Child 1 Grade

*

Please select one option.

Preschool Kindergarten 1 2 3 4 5 6

I am registering Child 1 for

*

Please select one option.

Both Music Camp and VBS Music Camp Only VBS Only

Child 2

Child 2 Age

Please select one option.

3 4 5 6 7 8 9 10 11 12 13

Child 2 Grade

Please select one option.

Preschool Kindergarten 1 2 3 4 5 6

I am registering Child 2 for

*

Please select one option.

Both Music Camp and VBS Music Camp Only VBS Only

Child 3

Child 3 Name

Child 3 Age

Please select one option.

3 4 5 6 7 8 9 10 11 12 13

Child 3 Grade

Please select one option.

Preschool Kindergarten 1 2 3 4 5 6

I am registering Child 3 for

*

Please select one option.

Both Music Camp and VBS Music Camp Only VBS Only

Instructions

Medications/Allergies/Special Needs

My child may also be picked up by

Comments

Payment for Music Camp - You may also pay by check to the RCUMC, write Music Camp in the memo.

Payment of $50 per child for Music Camp. VBS is free. $0

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 15th-19th, 5:30 - 8:00 PM

Fill out this form and click submit to register for Vacation Bible School for children age 3 years - 5th grade. Join us as we experience the ride of a lifetime with God at the Rolling River Rampage! Dinner is provided.

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