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Participant Registration

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Registro en Español

The Church at Odesssa

Location

1234 Gunn Highway

Odessa, FL 33556

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Contact Marta Cortez:

813-792-5400

mcortez@churchatodessa.org

First, Tell Us About Yourself:

Parent Information

Register parent info first then proceed to enter your child's information. Only register children who will have completed kindergarten through fifth grade as of Summer 2026. Children, nursery age to PK 5, should only be registered if you are a church member volunteering to serve VBS week.

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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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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Alternate Pickup Phone

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Alternate Pickup 2 Name

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Alternate Pickup 2 Phone

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Where do you attend church. If you do not have a church affiliation respond with "none."

This field is required.

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 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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Friend 2 First Name

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Friend 2 Last Name

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Comments

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NOTE: Your child may be photographed or videotaped during the event. Please indicate YES to give permission.

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After you click the register button, click back to home to complete the required minor release form. This form must be completed and turned in on Day 1 of VBS.

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