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Registracion del Participante

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The Church at Odesssa

Location

1234 Gunn Highway

Odessa, FL 33556

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Contact Marta Cortez:

813-792-5400

mcortez@churchatodessa.org

Primero, cuéntenos sobre usted:

Información de los Padres

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.

Nombre

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Apellido

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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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Estado/Provincia

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ZIP/Código Postal

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Teléfono de Contacto 1

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Teléfono de Contacto 2

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Mensaje de texto Teléfono

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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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Nombre alternativo de recogida 2

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Teléfono alternativo de recogida 2

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¿A qué iglesia asiste? Si no tiene afiliación religiosa, responda "ninguna".

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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.

Cuéntanos sobre tu participante

Nombre

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Apellido

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Grado Saliendo

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Género

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Fecha de nacimiento

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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 1 Apellido

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Amigo 2 Nombre

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Amigo 2 Apellido

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Comentarios

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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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