2021 VBS - July 5-9 @ Garrison Road Church
Please fill out one form per child.  Information received is confidential and is gathered for the purposes of serving your child while in the care of Riverside Community Church.  Any medical information collected serves to authorize Riverside Community Church, staff and volunteers, to obtain medical assistance in emergencies.
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Child First Name *
Child Last Name *
Date of Birth *
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DD
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Grade as of September 2021 *
Parent(s)/Guardian Name (First & Last) *
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