WaterWorks! Park Registration

Child's Name:
     
Child's Age:
     
Parent's / Caregiver's Name:
     
Home Phone:
     
Home Address:
     
Emergency Contact:
     
Emergency Phone:
     
Ontario Health Card No.
     
Other siblings attending?
Church Attended:
     
Known Allergies / Medical Attention:
     
Name of person picking up your child:
     
Phone # of person picking up your child:
     
Notes:
     

Rosebank Vacation Bible School is a safe environment for your child/ren. If an accident does occur involving your child the team of volunteers at Bible school cannot be held responsible for any injuries incurred while your child/ren are attending. Photos of the children will be taken throughout the week. If you do not want your child's photo taken please speak with the directors when registering your child.

Parent / Caregiver Authorization: