Rock Foundation Vacation Bible School Registration
July 22nd - 24th 2026, 9am-3pm daily! Hampton Inn & Suites,Tarrytown, NY. Attendance is Free. Snacks and Lunch will be provided.
Student Full Name
*
First Name
Last Name
Student Age (8-15)
*
Gender
*
Male
Female
Sibling First Name
Sibling Last Name
Sibling Age (8-15)
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Relationship
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Will the student need transportation to the venue?Transportation will be provided for kids who are unable to make it to the venue from a designated location
*
Yes
No
Does the student have any allergies?
*
Yes
No
Any information you would like us to know about your child
Does your child have any medical conditions or take medications we should be aware of?
Physician Name
Physician Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Names of People Allowed to Pick Up the Child
I understand that my child is expected to follow behavioral guidelines, and repeated misconduct may result in dismissal. I understand that I am responsible for timely drop-off and pickup.
*
I agree
Printed Name
*
Parent/Guardian Signature
*
Signature Date
*
-
Month
-
Day
Year
Date
Register
Register
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