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2021 ROCKY RAILWAY REGISTRATION
August 9-13 9:30AM - NOON
Please fill out one form per child.
Suggested $5 Donation covers 5 days of VBS, a t-shirt, and a box of take-home goodies at week's end.
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* Indicates required question
Child's Name
*
Your answer
Child's Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Last Grade Completed
*
Your answer
Child's Shirt Size
X-small
Small
Medium
Large
X-large
Adult Small
Adult Medium
Clear selection
Name of Parent(s) / Guardian(s)
*
Your answer
Home Address
*
Your answer
Home Telephone Number
Your answer
Parent/Guardian Cell Phone Number
*
Your answer
Home Email Address
Your answer
Home Church (if applicable)
*
Your answer
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