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Participant Registration

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Registro en Español

Saint Benedict Catholic Church

Location

11045 Parson's Road

John's Creek, GA 30097-1769

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Contact Edith Berardi:

edith.berardi@siemens.com

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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Country

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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

Campers must be 3 years old and potty trained to participate in Preschool. We accept camper registrations from kindergarten to rising 5th graders.

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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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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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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Payment Information

$50 Camper fee per child. Maximum fee per family $150

$40 Camper fee per child if a family adult volunteers the week of VBS.

Payment is due when you register and this registration does not reserve a spot at VBS until we receive payment. After you register your camper(s) please click on the Pay now button.

Payment is expected by May 15, or you may forfeit your spot to someone on the waitlist.

*Important: If your payment doesn’t go through, or if there are any issues or a mistake with the form, contact Edith and Patty directly—but do not re-submit the registration, as it can result in a double registration.

Edith Berardi: edith.berardi@siemens.com
Patty Xibille: pxibille@gmail.com

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