Child's Name (required)

Parent's Name (required)

Your Street (required)

Your City (required)

Your Zip (required)

Phone Number (required)

Your Email (required)

Child's Age (required)

IMPORTANT: A parent or adult guardian will be required to check in their child at registration. List every parent/gaurdian that will be approved to check in your child and remember, an ID will be required. (required) (separate by commas)

IMPORTANT: A parent or adult guardian will be required to check out their child at the end of the night. List every parent/gaurdian that will be approved to check out your child. (required) (separate by commas)

Allergies (if any)

Any additional information you would like to provide

Permission to use your child's photograph on RRBC's church website

Would you like to be added to the photo stream which allows you to view each nights activities?

Medical Injury Release: I will not hold Radisson Road Baptist Church liable should my child be injured during Vacation Bible Time 2022.

Medical Cost Consent: I will cover all medical costs should my child require any medical attention.

IMPORTANT: Every volunteer working with the children has undergone a national background check and will have a "Crew Member" t-shirt on. All parents are welcome to stay and view the activities but will be required to have a visitor badge with their name on it and wearing it at all times.

Digital Signature: I acknowledge that I have read and agree to the above Terms and Conditions.