Richfield VBS Registration

5:30pm-8:00pm; July 8-11, 2018. Ages 4 yrs-old through completed 5th Grade.
Please fill out a separate form for each child. If you have a question, call the church at 254-772-2340.
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ROAR 2019!!!
Child's Name *
Child's Age *
Child's Completed Grade in School *
Child's Gender *
Parent Name(s) *
Street Address *
City, State, Zip Code *
E-mail Address
Phone number(s) (Cell Preferably) *
Emergency Contact Besides Parent *
Emergency Contact Relationship to Child *
Emergency Contact Phone Number *
Child's Allergies or "None" *
Home Church
Name(s) of person(s) who may pick up child
Name of friend your child might want to be with
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