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     VBS registration form that you can print out

    Here is a form you can print out and mail or bring to the church office. And there are links here to an interactive page and to a PDF you can print out if you prefer.

     ROLLING RIVER RAMPAGE 
    VACATION BIBLE SCHOOL  
      July 27 and 28
     at Swift Church

     

    Student’s Name ________________________________________________________________________________________________________________


    Parent/Guardian Name _______________________________________________________________________________________________________


    Address_________________________________________________________________________________________________________________________

    __________________________________________________________________________________________________________________________________


    email Address ________________________________________________________________________________________________________________


    Phone Numbers  —  Home __________________   Cell ___________________    Work _________________


    Age Information

                    Date of birth ______________________________________   Age ________________________

                    Last school grade completed ___________________________________________________


    Home Church _________________________________________________________________________________________________________________
     

    Allergies/Medical Information/Other ______________________________________________________________________________________

    _________________________________________________________________________________________________________________________________


    Emergency Contacts


                               Name _________________________________________________ Phone _______________________________

     
                               Name _________________________________________________ Phone _______________________________

     

    Dismissal Information

    Name(s) of person(s) who may pick up this child from VBS                         ­­

    ____________________________________________________________________­­_____________________________________________________________

    _________________________________________________________________________________________________________________________________

     


     


    Other Information (church use only)


    Rolling River Rampage group ________________________________________________________________________________________


    Are parents helping with VBS? _______________  If yes, where? _____________________________                                                                           

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      • Presbytery of South Alabama
      • Synod of Living Waters


       


      A safe haven

      striving

      to cause

      God joy


       


       Swift  
      Presbyterian  
      Church
       

                   —————
      23208 Swift Church Road
      Foley, AL 36535
      Phone: (251) 943-8367
      email: swiftpc@gulftel.com