ROAR VBS Registration
Please fill out a form for each child you are registering. Space is limited. Registration will be accepted on a first come, first served basis. $10 suggested donation per registration.
Child's full name *
Your answer
Child's gender
Child's age *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Last school grade completed *
Name of parent(s)/caregiver(s) *
Your answer
Street address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Home phone *
Your answer
Parent/caregiver cellphone *
Your answer
Home email address *
Your answer
Home church (if any)
Your answer
I would like to volunteer at VBS
Photos of my child are OK *
Food allergies or other medical conditions
Your answer
In case of an emergency, contact *
Your answer
Emergency contact phone *
Your answer
Emergency contact's relationship to child *
Your answer
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