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Participant Registration

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Registro en Español

Parker United Methodist Church

Location

11805 S Pine Drive

Parker , CO 80134

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Contact Noelle Allison:

303-841-3979

noelle@parkerumc.org

First, Tell Us About Yourself:

Parent Information

Each child is required to have a signed medical release form before participating in VBS. If you return before camp you can enjoy a downloadable copy of all the music. The forms are located on this website or email Noelle for a copy.

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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Country

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Contact Phone 1

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Contact Phone 2

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Text Message Phone

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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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Home Church Affiliation

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Comments

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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

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Gender

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Date Of Birth

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Shirt Size

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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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Friend 2 First Name

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Friend 2 Last Name

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Friend 3 First Name

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Friend 3 Last Name

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Comments

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Would your child benefit from a sensory room? We have a place for children to reset at any time during the camp day.

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