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Participant Registration

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Noroton Presbyterian Church

Location

2011 Post Road

Children's Ministry

Darien, CT 06820

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Contact Abby Miller:

203-309-5619

abby.miller@norotonchurch.org

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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Country

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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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In which format do you prefer to receive VBS music?

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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

Which session will they be attending?

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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If you do not see your Child's T-Shirt size here or they need size 3T, 4T or 5T please contact us.

**Please Note: If you register AFTER June 1st, we cannot guarantee a T-Shirt for the participant, we will do our best to provide it but again, not guaranteed due to timeline restrictions.

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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