The Rock Family Ministry Registration

The Rock Ministry has been in Rockville since 1997 and provides a meal and a fun filled family church service on Friday nights in the fall and spring. The Rock provides limited local transportation to those who need it from Rockville. The Rock is for all ages and includes small groups for Pebbles Pre-K, Youth grades 7-12, and a moms/womens support group in addition to the Family church service. Transportation is available from most areas in Rockville for children grades k-6 and Parents/Grandparents/Guardians who need it. Exceptions may be made for those in grades 7+ who need transportation and desire to continue to be part of The Rock if they have had an exceptional track record of outstanding attendance and behavior.

Parent Name (Required)

Email (Required)

Phone Number (Required)

Alternate emergency phone number

Address (Required)

Child 1 ~ Full Name and Grade (Required)

Child 2 ~ Full name and Grade

Child 3 ~ Full Name and Grade

Child 4 ~ Full Name and Grade

List additional children and grades here

Choose 1 (Required)

I am able to bring my family to The Rock from 6:30-8pm on Friday nights. 47 East Street Rockville

My family can only attend with a ride

Initial each statement below acknowledging that you understand it

I understand that I will receive confirmation of this registration once it is approved (Required)

I understand that if my family or child is registered for transportation on a van that registration is for that family/child only (Required)

I understand that The Rock is a volunteer based church ministry and respectable behavior is expected at all times and those who do not behave appropriately will be brought home and not able to attend in the future (Required)

Solve 6 + 6 = ?

47 East St

Vernon Rockville, CT 06066

860-875-4137

rcnstaff@rockvillenazarene.com

churchtrac