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Participant Registration

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Registro en Español

Fifth Reformed Church

Location

2012 Griggs St SE

Grand Rapids, MI 49506

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Contact Janna Lange:

616-245-9247

jkooi@fifthrc.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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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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Would you like to receive text message updates and reminders about VBS for your child?

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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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Home Church Affiliation

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In which format do you prefer to receive VBS music?

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Will you be attending the Thursday Celebration Dinner (July 23)?

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Number attending Thursday Celebration Dinner

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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

Which session will they be attending?

When registering your child for VBS, please indicate the grade they will enter in the 2026–27 school year. Children enrolling in the PreK program must be 4 years old on or before September 1 and be fully potty-trained.

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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Allergies

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Medical Concerns

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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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Comments

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