VBS ROCKY RAILWAY REGISTRATION – Mother Seton Catholic Church

Please note registering by phone may cause errors. If you are having trouble completing your registration please complete your registration on a computer/laptop.

Parent/Guardians Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone Contact*
Phone Contact #2*
Emergency Contact Name*
First Last
Emergency Contact Relationship*
Emergency Contact Phone*
Camper's Name*
First Last
Grade Entering in the Fall*
Date of Birth*
Gender*
- Male
- Female
Shirt Size*
Second Camper's Name
First Last
Grade Entering in the Fall
Date of Birth
Male or Female?
- Male
- Female
Shirt Size
Third Camper's Name
First Last
Grade Entering in the Fall
Date of Birth
Male or Female
- Male
- Female
Shirt Size
Fourth Camper's Name
First Last
Grade Entering in the Fall
Date of Birth
Male or Female
- Male
- Female
Shirt Size
Please List Any allergies.
Please List Any Medical Concerns
Registration Fee Quantity*
Price: $75.00
Total
$0.00