kid’s - NextGen program

Fall programs are Starting Now at all three Rock Church campuses!

Please fill out the form below to register kid(s) Or to Volunteer!

Are you registering children or looking for information on volunteering for Nextgen? Please select an option.

Registering Kid/s

Volunteering to Serve

Campus

North Shore

Plaistow

Sandown

Parent or Volunteer's Name

First Name

Last Name

Cell Phone

(###)

###

####

Address

City

State

Zip

Fields below only applicable for kid's registrations.

For each child list: name, age, birth date and grade

Emergency Contact

Please list allergies per child.

Please list those who are authorized to pick-up.

Photo/Medical Release

Photo/Medical Release Photo: By signing below you understand that your child's picture may be taken during a Rock Kid’s event or other activity they attend at Rock Church. These photo’s may be used or published on bulletin boards within the church, on the internet or in the newspaper, and/or for public church announcements. Understanding that if names are used only the first name will be given. Medical: By signing below you give Rock Church Staff/Volunteers over the age of 18 authorization to perform medical treatment for my child in case of an emergency, by and under the recommendation of qualified medical personnel. Parent/Guardian Signature:_____________________________________Date:_____________________ *Photo/Medical release are good for one calendar year from the date of signature.

Rock Church Kids

kid’s - NextGen program

Fall programs are Starting Now at all three Rock Church campuses!

Please fill out the form below to register kid(s) Or to Volunteer!

LOCATIONS

Rock Church Kids

kid’s - NextGen program

Fall programs are Starting Now at all three Rock Church campuses!Please fill out the form below to register kid(s) Or to Volunteer!

Fall programs are Starting Now at all three Rock Church campuses!

Please fill out the form below to register kid(s) Or to Volunteer!