2019 VBS Registration: Crossroads UMC
Please fill out the information below to register.
Email address *
Rolling River Rampage
- June 3rd thru 7th
- 9:00am until 12:00pm
- Snack Provided
Is your child at least 4 years old? (required for participation) *
Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Last grade completed: *
Mailing Address: *
Your answer
Parent or Guardian Name: *
Your answer
Parent or Guardian phone number: *
Your answer
Secondary Parent or Guardian Name:
Your answer
Secondary Parent or Guardian phone number:
Your answer
Any Allergies or Medical Concerns? *
Your answer
Do you currently have a Church home? *
Do we have permission to take photos of your child? *
Would you like to register a sibling? *
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