ROAR VBS Child Registration
If you want to buy a T-shirt or CD, please go to the registration table at church between Sunday services or go to the church office to fill out an order form.
Child's First Name
Your answer
Child's Last Name
Your answer
Gender
Birthday
MM
/
DD
/
YYYY
Age
Your answer
Grade in School NEXT YEAR
School
Your answer
Home Church
Your answer
Allergies or Medical Conditions
Your answer
Parents' Names
Your answer
Family Address
Your answer
E-mail Address
Your answer
Do you want VBS Updates by e-mail?
Name of Primary Contact
Your answer
Phone Number for Primary Contact
Your answer
Do you want VBS Updates via Text?
Name of Emergency Contact (not a parent)
Your answer
Phone Number of Emergency Contact
Your answer
Emergency Contact's relationship to child
Your answer
Extra Notes for VBS Registration Coordinator
Your answer
Submit
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