ROAR! VBS Registration Form
Please fill out one form per child. Thank you!
Child's Name (First & Last) *
Your answer
Gender *
Child's Age *
Child's Date of Birth *
MM
/
DD
/
YYYY
Last Grade Completed? *
Parents Name(s) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Home Church
Your answer
Can we use your child's picture on the Church's website? *
Is there a friend your child would like to be with? *
Your answer
Allergies or other medical conditions? *
Your answer
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