Rocky Mount Kids
Welcome to Rocky Mount Kids! We're glad to have you! Take a couple of minutes to tell us about your family in this two-page form, and we'll be in touch every week with information and resources for you and your kids!
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Email *
Parent Last Name *
Parent First Name *
Cell Number *
Cell Phone Carrier (Verizon, Sprint, etc)
Street Address *
City, State Zip Code *
Second Parent (Last Name)
Second Parent (First Name)
Cell Number
Cell Phone Carrier
Email Address
Street Address
City, State Zip Code
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This form was created inside of Rocky Mount Church. Report Abuse