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Participant Registration

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Registro en Español

St. Simons Presbyterian Church

Location

205 King Way

Saint Simons Island, GA 31522

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Contact Ada Owens:

912-638-2220

ada@sspres.org

First, Tell Us About Yourself:

Parent Information

First Name

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Last Name

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Contact Phone 2

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Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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Alternate Pickup Name

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Alternate Pickup Phone

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Click here for your FREE Friends With God Kids Activity Pack

By checking the box you will be emailed your Free Friends With God Kids Activity Pack.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

First Name

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Last Name

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Grade Entering

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Gender

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Date Of Birth

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Shirt Size

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Allergies

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Important note on food allergies: If your child has a food allergy, we lovingly ask that you provide a packed lunch and snacks for each day of VBS. If you have any questions, feel free to reach out to Ada Owens: 404-395-2147 or ada@sspres.org

Medical Concerns

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Comments

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Are you currently a Member of SSPC?

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