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.)
Your answer
Please provide your email address.
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Please provide your phone number.
Please follow this format xxx-xxx-xxxx
Your answer
Please provide your child's name. *
Your answer
Please provide your child's age. *
Your answer
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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