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Participant Registration

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Registro en Español

Saint Stephen Church of Amarillo

Location

4600 S Western

Amarillo, TX 79109

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Contact Jennifer Pohlmeier:

806-355-7271

vbs@sscoa.net

First, Tell Us About Yourself:

Parent Information

PARENT INFORMATION

First Name

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Last Name

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Cell phone

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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 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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Home Church Affiliation

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Do you want VBS t-shirts?

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VBS T-SHIRTS - Look for the link to order RAINFOREST FALLS VBS t-shirts in your email confirming your registration! Questions-vbs@sscoa.net.

Permission to publish your child's photo

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Tell Us About Your Participant

RAINFOREST FALLS VBS is for 4 year olds (by Sept 1, 2026) through 6th grade (Fall 2026). The nursery and Preschool 3's classes are for children of volunteers only.

CHILD'S INFORMATION

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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Comments

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Do you have a friend you would like to be placed with? If so, who?

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Siblings attending VBS

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