ROAR Academy Application Form

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Thank you for getting started with ROAR Academy! Please fill out this form to the best of your ability and be sure to include answers on all of your required fields.

If you have any questions, please call 661-303-5689 or contact us at elyanna@roaracademy.org.

PERSONAL INFORMATION

Please provide your personal information.

Full Name *

Email *

Phone Number *

Whatsapp Number (Global Only)

Address *

City *

State/Province *

Zip Code *

Country *

Date of Birth *

YYYY

Gender *

Male

Female

Required

Are you a U.S. Citizen? *

Yes

Birthplace: *

If married, will your spouse be attending ROAR Academy? *

Yes

What church do you currently attend? *

Senior pastor: *

Are you a member? *

Yes

For how long? *

Do you attend regularly? *

Yes

If no, how often do you attend?

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