Roar! VBS Child Registration: 2019

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Welcome to ROAR! Vacation Bible School! Invite your friends and neighbors and join us we discover how we can be anchored in the truth that Jesus carries us!
Sunday, June 9th: Block Party Kick-off (Picnic 5:30-6:00pm, VBS 6:00 - 8:30pm)
Monday-Thursday, June 10-13th: ROAR VBS @ The Point (6:00 - 8:30 pm)

VBS at The Point is for ages 4 years through kids entering 6th grade. Please fill out a separate registration for each child attending VBS. We look forward to seeing you at ROAR VBS @ The Point!

First Name *

Last Name *

Birthdate *

Age *

Last Grade Completed *

(as of May 2018)

Child is *

Male

Female

Parent/Guardian Name(s) *

Mailing Address *

City *

State *

Zip Code *

Cell Phone *

(no spaces or hyphens required)

Home Phone

(if different from cell phone)

Parent/Guardian Email Address *

Emergency Contact Name: *

(in the event parent/guardian cannot be reached)

Emergency Contact Phone Number: *

(in the event parent/guardian cannot be reached)

Health Status: *

Child is in overall good health and able to participate in all activities. yes

Significant illness, injury or special consideration (asthma, diabetes, etc.).

Allergies (i.e. medications, bee stings, food, other).

Other (please explain below).

Details regarding health status that you would like us to know about:

Special Grouping Instructions (optional)

(i.e. a friend they would like to be in the same group with)

Submit

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