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Participant Registration

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First Presbyterian Church, Gulfp

Location

10885 ONeal Road

Gulfport, MS 39503

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Contact Austyn Cain:

228-863-2664

acain@fpcgulfport.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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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 2 Name

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Home Church Affiliation

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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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Please note! Nursery and Preschool registration are only available for volunteers.

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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Medical Concerns

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Friend Requests: Please note that children in grades K-2 and 3-6 are placed in separate groups, so any requests must fall within these grade divisions.

Do you have friends you would like to be placed with? We will do our best to group selected friends together in the same crew, but we cannot promise all requests will be possible.

Friend 1 First Name

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Friend 1 Last Name

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Friend 2 First Name

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Friend 2 Last Name

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Friend 3 First Name

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Friend 3 Last Name

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Comments

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Grades 3rd- 6th only!

Grades 3-6 can request 4 activities. They will be placed into 2 of those choices. Activities are assigned by date registered and are first-come, first-served.

If your child is entering grades 3-6, please type in your child's top four choices from these activities:

Watercolor- Paint with and learn watercolor technique

Botanical Arts- Use flowers to make art, including making paint from flower petals

Banner-making (NEW!)- Learn how to make butcher paper banners, popularly used at birthday parties, etc.

Mixed Media- Create art using a variety of methods and materials

Music- Sing and use musical instruments like Boom Whackers

Drama- Learn methods of acting and perform skits

Acrylic Painting- Create a masterpiece on canvas with acrylic paints

Embossing (NEW!)- Create your own note cards, gift tags, bookmarks, etc.

Activity Choice #1

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Activity Choice #2

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Activity Choice #3

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Activity Choice #4

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Photo Release: Do we have permission to use your child's photo on our Camp Design Facebook page? Names will not be included with photos.

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