RBC Vacation Bible School Registration Form 2024
August 5th - August 8th | Please fill out this form and click submit. If you have any questions please contact the church office at
773-561-6576
Parent Information
Name
*
Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
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GA
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IL
IN
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KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
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NV
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OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Email
*
This address will receive a confirmation email
Child/Children Information
1st Child's Full Name
*
Age
*
Please select one option.
3-5
6-8
9-12
Select Option
3-5
6-8
9-12
Grade going into in the fall 2024
Please select one option.
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Select Option
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
2nd Child's Full Name
Age
Please select one option.
3-5
6-8
9-12
Select Option
3-5
6-8
9-12
Grade going into in the fall 2024
Please select one option.
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Select Option
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
3rd Child's Full Name
Age
Please select one option.
3-5
6-8
9-12
Select Option
3-5
6-8
9-12
Grade going into in the fall 2024
Please select one option.
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Select Option
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
4th Child Name
Age
Please select one option.
3-5
6-8
9-12
Select Option
3-5
6-8
9-12
Grade going into in the fall 2024
Please select one option.
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Select Option
Pre-K 3-4
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
Allergies/Medical Conditions
*
I grant permission for Ravenswood Baptist Church to use photographs and/or video recordings of my child(ren) for promotional and informational purposes.
*
Please select one option.
Yes
No
Emergency Contact Information
Name
*
Phone
*
Relationship to child
*
Please select one option.
Parent
Guardian
Relative
Other
How did you hear about Vacation Bible School?
*
Please select one option.
Church Attendee
Social Media
Flyer
Other (Explain below)
Select Option
Church Attendee
Social Media
Flyer
Other (Explain below)
Other
Submit
Description
August 5th - August 8th
Please fill out this form and click submit. If you have any questions please contact the church office at
773-561-6576
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