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Registracion del Participante

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Faith Community

Location

2931 Lucerne Dr

Janesville, WI 53545

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Contact Dori:

608-752-5898

office@churchrox.com

Primero, cuéntenos sobre usted:

Información de los Padres

We are offering VBS shirts to participants! If your kiddo would like a VBS shirt, please make sure to select a shirt size. Shirts will cost $5 if child(ren) are registered by June 7th.

After June 15th, shirts will cost $10 while supplies last. (Pay at VBS)

If your child does not wish to have a VBS shirt, simply skip "shirt size" box.

Nombre

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Apellido

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Correo Electrónico

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Teléfono de Contacto 1

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Nombre del Contacto de Emergencia

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Teléfono del Contacto de Emergencia

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Afiliación de la iglesia local

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¿Nos da permiso para usar las fotografías y videos de VBS para cualquier uso legal, que incluye, entre otros, la promoción de VBS?

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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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Grado Entrando

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Género

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Fecha de nacimiento

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Alergias

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Preocupaciones Médicas

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Does your child require a "one-on-one buddy?"

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Comentarios

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Do you wish to purchase a VBS Shirt for your child? ($5 per shirt if registered by June 7th) Shirts will be available at VBS for $10 per shirt while supplies last.

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Talla de Camisa

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I am paying for my shirt by....

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