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Participant Registration

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Dardenne Presbyterian Church

Location

7400 S Outer 364

Dardenne Prairie, MO 63368

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Contact Marie Aschinger:

635614347

marie.aschinger@dpc4u.org

First, Tell Us About Yourself:

Parent Information

Thank you for registering for Dardenne's VBS - Rainforest Falls!

Enter PARENT/GUARDIAN information first.

Then you can enter your first child.

VBS is for children 4 years - 5th grade.

You will be able to register additional children under the "Add Another Participant" button.

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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Alternate Pickup Name

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Alternate Pickup Phone

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What is your home church? If you don't have one, say none

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I understand I need to pay at this link : http://dpc4u.square.site/

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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

T-shirts and CDs are available to purchase at the store link: https://dpc4u.square.site/

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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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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Comments

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Siblings names:

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I give permission for photographs taken during VBS to be used by the church. I also give permission to have my child treated in case of an emergency, if I cannot be reached.

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Please list any accommodations we can provide for disabilities your child may have to give them the best support and experience at VBS. If none, please enter none.

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If your child has a condition, such as Autism or other special abilities or accommodations above, would a 1:1 "Buddy" that can move with your child throughout VBS be beneficial?

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