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Participant Registration

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Tates Creek Presbyterian Church

Location

3900 Rapid Run Dr.

Lexington, KY 40515

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Contact Nicole Dorton:

859-321-5929

ndorton@tcpca.org

First, Tell Us About Yourself:

Parent Information

Join us for a fun-filled week this summer as we dive into friendship with God on a SCUBA adventure! We’ll learn all about how God is a friend to everyone and what it means for our lives, making a lot of sweet friends along the way!

Each day at VBS, kids will participate in awesome Bible adventures, play teamwork-building games, sing catchy songs, devour yummy treats, make fun crafts and have LOTS of FUN!!

Dates: June 17-21

Time: 9:00am–12:00pm

Ages: 4 years*–Rising 5th Graders
*Children must be 4 years old as of 6/1/24

Location: Tates Creek Presbyterian Church - 3900 Rapid Run Dr. Lexington, KY 40515

For a VBS our size, we need 50+ volunteers! We hope you will consider volunteering! Sign up to volunteer here.

Parent Information

First Name

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Last Name

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Address 1

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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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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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Church affiliation

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Waiver Of Liability And Disclaimer

I, the parent or legal guardian of the below named individuals, acknowledge that participation in athletic events necessarily involves risk of physical injury. I further acknowledge that the programs of the Tates Creek Presbyterian Church Vacation Bible School are primarily administered by parents who volunteer their time rather than paid professionals. In consideration for accepting the registration of the above named individuals and permitting the voluntary participation of said individuals inits program, I hereby release, discharge, hold harmless and agree to indemnify Tates Creek Presbyterian Church, its employees, volunteers and other representatives from any claims arising out of relation to any physical injury that may result to said individual while participation in the Vacation Bible School activities.

Emergency Authorization

I, the undersigned parent or legal guardian of the participant, a minor, hereby authorize the Tates Creek PresbyterianChurch staff or Vacation Bible School volunteers, acting in the capacity of activity supervisors, as my Agents, to consent to medical, surgical, or dental examination and/or treatment. In case of an emergency, I hereby authorize treatment, and/or care at any hospital.

Signature Name

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I give permission for Tates Creek Presbyterian Church to take pictures and/or video of my child(ren) participating in VBS (with no identifying information displayed) to be used in slideshows during VBS and VBS promotion.

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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 Entering Fall 2024

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Gender

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Date Of Birth

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Allergies or Medical Concerns (if none, leave blank)

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School attended this year

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Did someone invite you to VBS? If yes, please list their name below.

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If TCPC is not your home church do you have someone who invited you that you would like to be placed in a group with? We will do our best to put you in the same crew, but we cannot promise all requests will be possible.

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Anything else you would like us to know?

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Grade Entering

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