VBS Registration

Roar_Logo.jpgJune 10-14 | 9a.m. - Noon

Children ages 4 through 6th grade (Fall 2019) are invited to join our VBS herd as we travel on an African Safari learning about our God and how HE is good through it all!  

* Child's Name:
* Child's Age:
Child's Birth Date:
 
* Grade child is ENTERING:
Child is a:
   
Street Address:
City:
State:
Zip Code:

Best Contact Numbers

*   Phone:
  Phone:
* Parent/Guardian:
Parent/Guardian Email Address:
* Emergency Contact Name:
* Emergency Contact Phone:
Home Church:
Allergies/Medical Conditions:
How did you hear about our VBS?
Comments:

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