Rocky Railway-Jesus Pulls US Through!! 2021
Thank you for registering your child for Rocky Railway!

Our VBS will be held Monday, June 7 thru Friday, June 11 from 6-8:30pm

A child must be 3 years of age by August 1, 2020 to attend VBS. Children who have completed 5th grade can attend.

Younger children can be left in our worker's nursery, but a parent must stay on-site and be working in VBS.

Our Rocky Railway Kick-Off will be held Sunday, June 6 at 6:00 p.m. in our Sanctuary and will feature Matt Adams, illusionist/evangelist!

Covid-19 Guidelines for VBS! Although we pray that by the time VBS happens that many restrictions and mandates are lifted. We are working diligently to plan for the safety of kids and families. As you know, this is ever changing. We will have a firm plan two weeks before VBS. Please make sure a cell phone contact is in your child’s registration as we will create a Remind group you communicate all of the final plans at that time!

Thanks again for taking the time to register!  Note that each child must be registered on a different form.

Questions?  Contact Rachel Cobb, Director of Preschool & Children's Ministries at rachel.cobb@fbcrichmondky.church or 8595823207
(NOTE:  Please use the TAB key to move to the next field.  If you press ENTER by mistake, once you move past the required fields, you will not be able to complete the registration.)


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Child’s Last Name
Child’s First Name
Gender *
必填
Child's Date of Birth *
(MM/DD/YYYY)
Allergies or Medical Conditions
Please list anything we should be aware of, including food allergies.
Does Your Child Have Exceptional Needs?
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Diagnosis
Special Instructions
Home Street Address *
Home City *
Home Zip *
Mother's/Guardian's Name *
Mother's/Guardian's Primary Phone *
Mothers/Guardian's Email
Father's/Guardian's Name
Father's/Guardian/s Primary Phone
Father's/Guardian's Email
Pick-Up Information
Should Mother be a designated pick-up person?
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Should Father be a designated pick-up person?
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Other adults authorized to pick-up child?
List up to 3 names
Emergency Contact Information
Emergency contact (other than parent/guardian) *
Emergency contact's primary phone *
Relationship of emergency contact *
Miscellaneous Information
Grade Completed by June 2021 *
School attended?
T-Shirt Size
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Does your child have a preferred crew leader?
Please list person's name
Is there another child your child would like to be in a crew with?
Please list child's name
Is child a Christian?
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Has the child been baptized?
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Is child/family members of a local church?
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If so, what is church name?
Additional comments or information you want us to know.
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