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Registracion del Participante

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Abundant Life Community Church

Location

7333 Sharon Rd.

Newburgh, IN 47630

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Contact Kim Forston:

812-853-3437

kforston@alccn.org

Primero, cuéntenos sobre usted:

Información de los Padres

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Dirección 2

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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Please give us your phone number OR the phone number & name of who we should call in an Emergency

Teléfono del Contacto de Emergencia

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Nombre del Contacto de Emergencia

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If someone other than yourself will be available to pick up your child, please provide that information below.

Nombre de recogida alternativo

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Teléfono de recogida alternativa

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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.

Cuéntanos sobre tu participante

Nombre

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Apellido

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VBS at ALCC is for children ages 3 years (and potty trained) up through those entering 6th Grade this fall.

Género

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Age

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Grado Entrando

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Alergias

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Preocupaciones Médicas

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¿Tienes amigos con los que te gustaría estar juntos? Haremos todo lo posible para juntar a los amigos seleccionados en el mismo grupo, pero no podemos prometer que todas las solicitudes serán posibles.

Amigo 1 Nombre

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Amigo 1 Apellido

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Amigo 2 Nombre

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Amigo 2 Apellido

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Amigo 3 Nombre

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Amigo 3 Apellido

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