Outback Rock

VBS Registration

At Outback Rock VBS, kids embark on an Outback adventure into solid faith!

June 5th - 7th from 6-7:30 PM

Parent/Guardian Name

First Name

Last Name

Contact #

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###

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Child 1 - Name/Age

Child 2 - Name/Age

Child 3 - Name/Age

Child 4 - Name/Age

List Names & Contact# of those allowed to drop-off and pick-up the children below

*If someone else needs to pick-up your children... any night, Parent/Guardian MUST let church know

Medical Concerns and/or Allegies

*Please list any medical concerns or allergies for each child below

For more information contact Alice Jones 817-776-1752