Register for Roar Parent or Guardian Name* First Last Address* Street Address Address Line 2 City State ZIP Phone*This is the number we will call in case of emergency.Email* How many campers (age 3 to 6th grade) would you like to register?*How many mentors (grades 7 to 12) would you like to register?What are the names and ages of each child?*Please include any nicknames your kids prefer.Other Information My kids have allergies. My kids have other special needs I'd like you to be aware of. I am interested in volunteering during camp. I need help with transportation to or from camp. I would like to make a donation to help cover the cost of camp. Allergies*Please tell us about your child's allergies.Special Needs*Please tell us about the special needs you'd like us to be aware of.Donations All campers are welcome to attend Roar! at no charge. But it costs Mosaic about $25 per child to hold the camp, and we're grateful for any donations families can offer to help offset that cost. Visit mosaicroc.org/young/roar/support/.Is there anything else you'd like to share with us?*CAPTCHANameThis field is for validation purposes and should be left unchanged.