Vacation Bible School Registration Form 
Rosalind Hills Baptist Church Vacation Bible School 2009 Watering Malawi

Watering Malawi

Watering Malawi advocates for long-term solutions to extreme poverty and hunger through access to clean water, simple irrigation and sanitation systems

 
Quick & Easy Registration!
Please fill out the registration form below and click on the submit button when you are finished.
For easy registration, please fill out this form and then click on the submit button. If you have any questions, or would like more information, please leave your name and contact information under comments.

Child 1 First & Last Name & Age
 *
Child 2 First & Last Name & Age
Child 3 First & Last Name & Age
Child 4 First & Last Name & Age
Home Street Address:
 *
City:
 *
State:
 *
Zip Code:
 *
Home Phone Number:
 *
Cell Phone Number:
Home Email Address:
 
Number of family members participating:
 *
 
In Case of Emergency contact:
 *
Allergies or Medical Conditions:
 *
Home Church:
Name of a special friend you child might like to be with:
Comments:
 *
Security code:
 *
Do not enter anything in this field:
* indicates a required field

 

A place to belong, a place to become...becoming a welcoming community, sharing the presence of Christ wherever we are.

 


Rosalind Hills Baptist Church
2712 Brandon Avenue
Roanoke, VA 24015-3308

Phone: 540-344-7888
Fax: 540-342-6915

Office hours: 8:30 AM - 3:00 PM

 

 

 


 

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