SONROCK ONLINE REGISTRATION

CHILD'S NAME:    AGE:    GRADE ENTERING FALL 09:
ADDRESS:      PHONE:            
MOTHER'S NAME:    MOTHER'S ADDRESS:
MOTHER'S WORK PHONE:            MOTHER'S HOME PHONE:                   
FATHER'S NAME:    FATHER'S ADDRESS:   
FATHER'S WORK PHONE:             FATHER'S HOME PHONE:   

OTHER EMERGENCY CONTACT:      RELATIONSHIP:
PHONE NUMBER: note parents will be contacted first                  

SPECIAL FRIEND (same aged) YOUR CHILD WOULD LIKE TO BE WITH:   
ADDITIONAL NOTES:

EMAIL ADDRESS: If you would like to help in ANY way please contact ann@bakerstreetcc.org

You will receive a confirmation page once your Online Registration has been submitted.
PLEASE NOTE that parents will still need to stop and complete a medical release upon bring their child to VBS. THANK YOU!