Kids on the Rock

Please share a little information with us so we can better serve your child(ren) and contact you if needed while your child is with us!

Your name *

Email address *

Phone number *

Household members

Please add your children who will be attending here. Under Medical information please let us know if your child has any allergies or conditions that we may need to be aware of to best serve your child's needs while they are with us!

Are there any people who are NOT allowed to have contact with or pick up your child? *

If so please list their names here and if possible show their photos to a Kids on the Rock Volunteer upon drop off.

I give permission for my child to be photographed during Kids on the Rock activities. *

Photos may be used on our Facebook page to promote Kids on the Rock programing.

Yes

Does your child require transportation to Kids on the Rock? *

We can provide transportation on our church bus for most kids within Columbia city limits. You must provide an appropriate booster seat for children under 8 and sign a transportation waiver.

yes

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