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ROAR! Participant Registration
VBS is June 24-28, 2019 9am - Noon. Register today!!
A $10 fee is requested to cover the cost of VBS supplies (Payments can be dropped off in the VBS box in the church narthex or mailed to the church at 15160 S. Harrell's Ferry Rd. Baton Rouge, LA 70816.)

**A SEPARATE FORM MUST BE COMPLETED FOR EACH CHILD ATTENDING**

Child's Name *
Your answer
Child's Birthday *
MM
/
DD
/
YYYY
Grade COMPLETED *
Min. age is 3yrs. old by the start of VBS and FULLY potty trained. Max age is children who have completed 5th grade.
Parents' Names *
Your answer
Siblings Also Attending VBS
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Emergency Contact *
Full Name & Phone Number
Your answer
Food Allergies? - Please Specify
Your answer
Medical Needs? - Please Specify
Your answer
Other Special Needs?
Your answer
Home Church *
T-Shirt Size
An additional $10 fee is required if you would like to purchase a t-shirt. T-shirt orders must be received no later than June 12th. Choose Child's size below:
Any Additional T-Shirt Orders?
An additional $10 fee is required for each t-shirt ordered. T-shirt orders must be received no later than June 12th. Please list sizes & quantities below. (ex: 1 Adult - L, 3 Child - S, etc.)
Your answer
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