Name(s) * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phones (home/cell & who/best contact time):: Email Adult Birthdays & Anniversaries: CHILDREN who attend RSC (with ages / birthdates): Is it okay for us to include this information in the RSC directory? Yes No Survey: How long have you attended RSC? Which service do you primarily attend? 9:00 a.m. 11:00 a.m. Where do you usually sit? Downstairs Balcony Additional Info/Comments/Questions: Thank you!
