RBC 2008 Vacation Bible School - Signup Form
 If you wish to sign up your child for the 2008 RBC VBS, Please use this form to submit your information so that we can put you on our enrollment list.
Make sure to click the Send button at the bottom of this page.
Thank you!

Enrollment Fees
$100 maximum fee per family
   
RBC Members Non-Members
First Child           $30 First Child           $40
Second Child      $25 Second Child      $35
Third Child         $25 Third Child         $25
Fourth Child       $20  
Five or more children included in the $100 maximum per family fee Four or more children included in the $100 maximum per family fee
   
Family - Last Name
Mother's First Name
Father's First Name
Home Address -Line 1
(Street # and Name)
Home Address - Line 2
(City, State, Zip)
Home Phone Number
Mother's Cell Phone
Father's Cell Phone
Mother's email address
Father's email address
Name of Child # 1
Birthday of Child # 1
T-Shirt Size
Any Allergies? If Yes, Please list them.
Need Transportation ?
Extra Cost ~ $10 per household
Name of Person who will pick up the child
Name of Child # 2
Birthday of Child # 2
T-Shirt Size
Any Allergies? If Yes, Please list them.
Need Transportation ?
Extra Cost ~ $10 per household
Name of Person who will pick up the child
Name of Child # 3
Birthday of Child # 31
T-Shirt Size
Any Allergies? If Yes, Please list them.
Need Transportation ?
Extra Cost ~ $10 per household
Name of Person who will pick up the child
Name of Child # 4
Birthday of Child # 4
T-Shirt Size
Any Allergies? If Yes, Please list them.
Need Transportation ?
Extra Cost ~ $10 per household
Name of Person who will pick up the child

Comments: