VBS Registration
Please complete one form per family
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Email *
Child # 1  First and Last Name *
Child #1  Grade entering in Fall 2019 *
Child #1  T-shirt size (All participant's receive a  t-shirt with registration fee.) *
Would you like to purchase a ROAR Music CD for  $7 *
Parent's Name First, Last *
Parent's Phone Number during VBS *
Emergency Contact Name *
Emergency Contact Name Phone Number *
Child #2 First and Last Name
Child #2 Grade entering in Fall 2019
Child #2 T-shirt size (All participant's receive a t-shirt with registration fee.)
Child #3 First and Last Name
Child #3 Grade entering in Fall 2019
Child #3 T-shirt size (All participant's receive a t-shirt with registration fee.)
Child #4 First and Last Name
Child #4 Grade entering in Fall 2019
Child #4 T-shirt size (All participant's receive a  t-shirt with registration fee.)
Child #5  First and Last Name
Child #5  Grade entering in Fall 2019
Child #5  T-shirt size (All participant's receive a  t-shirt with registration fee.)
Any health or behavior issues of which we should be aware?
A copy of your responses will be emailed to the address you provided.
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