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Registracion del Participante

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Jeffersonton Baptist Church

Location

18498 Springs Road

Jeffersonton, VA 22724

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Contact Dylan Teaford:

540-498-3333

dteaford@jbcva.org

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Información de los Padres

Thank you for registering for Illumination Station VBS at Jeffersonton Baptist Church! We cannot wait for your child to join us for an exciting week of games, worship, Bible adventures, snacks, and unforgettable moments that point kids to Jesus. If you have questions or special requests, please contact Pastor Dylan or Brittany Morton anytime.

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Correo Electrónico

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Dirección 1

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Dirección 2

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Ciudad

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ZIP/Código Postal

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País

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Teléfono de Contacto 1

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Teléfono de Contacto 2

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Nombre del Contacto de Emergencia

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Relación del Contacto de Emergencia

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Teléfono del Contacto de Emergencia

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Nombre de recogida alternativo

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Teléfono de recogida alternativa

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Afiliación de la iglesia local

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I understand that Jeffersonton Baptist Church may take pictures videos for in house use and promotional content. I understand that if I wish to remove my permission I must contact Pastor Dylan. dteaford@jbcva.org

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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.

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Nombre

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Grado Entrando

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Nursery Information (Ages 4 & Under): Our nursery during VBS is primarily reserved for children of volunteers serving throughout the week. If your family is interested in utilizing nursery care for children ages 4 and under, please contact Pastor Dylan at dteaford@jbcva.org before registering so we can discuss availability.

Género

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Fecha de nacimiento

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Talla de Camisa

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Alergias

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Preocupaciones Médicas

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¿Tienes amigos con los que te gustaría estar juntos? Haremos todo lo posible para juntar a los amigos seleccionados en el mismo grupo, pero no podemos prometer que todas las solicitudes serán posibles.

Amigo 1 Nombre

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Amigo 2 Nombre

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Amigo 3 Nombre

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