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Vacation Bible School: ROAR!
Registration Form PK-6 (One Per Child)
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's gender
Male
Female
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Child's age
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Last school grade completed
*
Your answer
Full name of parents
*
Your answer
Home Street address
Your answer
City, State, Zip
Your answer
Parent phone number
*
Your answer
Parent email address
*
Your answer
Home church
Your answer
Allergies or other medical conditions
Your answer
In case of an emergency, contact:
*
Your answer
Emergency contact phone:
*
Your answer
Emergency contact relationship to child:
*
Your answer
T-shirt Size (Child)
XS
S
M
L
XL
XXL
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