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Participant Registration

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Crosswind Church

Location

640 Lucabaugh Mill Rd

Westminster, MD 21157

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Contact Heather Phillips:

410-848-5537

heather@mycrosswind.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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Contact Phone 1

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Emergency Contact Name

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Emergency Contact Phone

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Alternate Pickup

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Home Church

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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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Please select grade entering. We strongly recommend that children who are 5-years-old but have not completed Kindergarten be registered for the Preschool program.

The Preschool program is for children age 3-5.

***Nursery is for children of volunteers ONLY!!

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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I give permission for photographs of the child(ren) listed above to be used in publications of Crosswind Church (including the church website and church social media pages.) I understand that these photos may be viewed by anyone but no identifying information will be displayed.

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