Vacation Bible School
              Registration Forms

Please complete and submit this form.


Someone from Royal Heights Baptist Church will contact you to confirm registration and arrange for payment ($15).

Note

Pictures will be taken throughout the week and used in a PowerPoint presentaion at the end of the week. These pictures will be kept on file with other historical pictures for the sole use of Royal height sBaptist Church.

First Name:
Last Name:
Birthdate:	Day (dd) Month (mm) Year (yyyy)
Last Grade Completed:
Address:
City:
Province:
Postal Code:
Phone:
Cell Phone:
E-mail:
Emergency Contacts
Name:
Phone:
Name:
Phone:
Name:
Phone:
Adults Authorized to Pick Up Your Child
Name:
Phone:
Name:
Phone:
Name:
Phone: