VBS Signup

2024 VBS Signup Form

Mark your calendars for 'The Great Jungle Journey' VBS! Your 3year-old through 6th grader can join us in the adventure.
VBS will be held on the RSBC campus June 23-27 at 6:30-8:30pm each evening.
Commencement will be on Friday June 28th at 7:00pm that will include a hot dog supper.
We hope you can join us! All VBS events are free! Sign up below to register each child.

First Name of Parent/Guardian

Last Name of Parent/Guardian

Email Address

Phone Number

Address 1

Address 2

City

County

State

Zip/Postal Code

Child 1 - Name

Child 1 - Age and grade completed

Medical information or allergies for child 1

Child 2 - Name

Child 2 - Age and grade completed

Medical information or allergies for child 2

Child 3 - Name

Child 3 - Age and grade completed

Medical information or allergies for child 3

Child 4 - Name

Child 4 - Age and grade completed

Medical information or allergies for Child 4

Emergency Contact #1 - Name

Phone Number

Emergency Contact #2 - Name

Phone Number

Who may pick up your child at the end of each VBS day? (and relationship to child)

Do you attend church?
yes
no

Where?

If you are visiting our church, who are you a guest of (who invited you)?

We will have a dinner for all participants and family on Friday, June 28th @ 6:00 pm. Will you attend?
yes
no

If so, how many will attend?

Parental Permission
By checking this box, you are registering your child(ren) for VBS and are giving permission for photos and/or video. This also gives your permission for photos to be uploaded to our website or put on Facebook.

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VBS Signup

2024 VBS Signup Form

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