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Participant Registration

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Central Baptist Bearden

Location

6300 Deane Hill Drive

Knoxville, TN 37919-4901

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Contact Kim Ponder:

865-588-0586

childrenadmin@cbcbearden.org

First, Tell Us About Yourself:

Parent Information

Elementary Vacation Bible School is for children who have completed Kindergarten through completed 5th grade. Preschool VBS is for children ages 3 years through 5 years (pre-K). Children must turn 3 BEFORE the first day of VBS. All children must be fully potty trained (out of diapers and pull-ups).

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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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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Do you have a home church, and if so where?

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Would you like more information about Central Bearden?

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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

First Name

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Last Name

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Grade Leaving

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Gender

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Date Of Birth

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T-Shirts are $10 each and only available pre-ordered through payment. We cannot guarantee shirts if not ordered in advance. If you would like to order your child a shirt, please indicate their size below. You can pay today through Venmo.

Shirt Size

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Allergies

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Medical Concerns or Special Needs

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Do you have ONE friend in the same grade that 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.

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ONE Friend's first name, last name, and grade completed

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Comments

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