2021 ROCKY RAILWAY REGISTRATION
August 9-13 9:30AM - NOON
Please fill out one form per child.
Suggested $5 Donation covers 5 days of VBS, a t-shirt, and a box of take-home goodies at week's end.
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Child's Name *
Child's Age *
Date of Birth *
MM
/
DD
/
YYYY
Last Grade Completed *
Child's Shirt Size
Clear selection
Name of Parent(s) / Guardian(s) *
Home Address *
Home Telephone Number
Parent/Guardian Cell Phone Number *
Home Email Address
Home Church (if applicable) *
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