Registration Form--Summerama VBS 2022
Welcome to Summerama VBS 2022, for children 4 years old to entering 6th grade in September, 2022!  This free event will be held at Rutherford Bible Chapel, 161 West Passaic Avenue, Rutherford, NJ. It will run for one week: Monday, July 25 to Friday July 29, from 6:00 to 8:00 PM. Please use a separate form for each child you register. A confirmation and a parental consent form will be emailed to you upon acceptance of your registration. Our SonTreasure Island VBS sessions are limited to the first 75 children registered.
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Child's first name *
Child's last name *
Child's birthday: month/day/year *
Parent/Guardian Email *
Street Address *
City, State and Zip Code *
Parent cell phone number *
Your child's grade level in September 2022 *
Does your child have any allergies or medical conditions? *
Emergency contact name and relationship *
Emergency contact cell phone number *
Child's T-shirt Size *
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