VBS Registration - Round Pond Church

Join the Keepers of the Kingdom!

Name *

First

Last

Gender *

Birthdate *

Grade completed *

Address *

City *

State *

Zip *

Parent/Guardian *

First

Last

Phone *

Email *

Emergency contact *

First

Last

Relationship to child *

Phone *

Who can pick up your child? *

Name of home church *

Food allergies *

If yes, list food allergies *

Medical concerns *

If yes, explain medical concerns *

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