Rome Vacation Bible School Registration Form

Parent/Guardian Name(s) *

Parent/Guardian Email(s) *

Address *

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Phone Numbers *

Emergency Contact Name and Number *

Emergency Treatment

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Restricted Use of Photos in Social Media

From time to time, we like to post pictures of our kids in action on social media (Facebook, Instagram, the CMF website, and occassionally in the local newspaper). If you DO NOT WANT your child's photo to appear in any social media, please indicate that preference by lisitng your child's name below.

Student Information

1 - Name *

Birthdate *

Grade Completed *

Kid's T-Shirt Size (Please specify kids or adult sizes) *

Medical Conditions/Allergies *