ARC 2018 Rock-A-Block Registration - August 4, 2018 at Highland Square
This information will be used to register your children for Rock-A-Block. It will not be made publicly available.
**Please fill out form for each child you register**
Please provide parent/guardian's first and last name.
(This should be the name of the parent/guardian that will be supervising the children the day of the event.)
Please provide your email address.
Please provide your phone number.
Please follow this format xxx-xxx-xxxx
Please provide your child's name.
Please provide your child's age.
Please provide your child's gender.
Is there anything you would like us to pray over?
Information shared will not be made public.
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