VBS

Register here for Roar VBS!

Child's Name *

First

Last

Date of Birth *

Grade Completed *Pre-KKindergarten1st2nd3rd4th5th

Age *

Gender *MaleFemale

Parent/Guardian's Name *

First

Last

Address

City

State

Zip

Emergency Contact Name (if other than Parent/Guardian)

Emergency Contact Number *

Do you agree to allow photos of your child to be used in church presentation or church promotional materials? *YesNo

Phone

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