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Registracion del Participante

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Fellowship Christian Reformed Church

Location

407 Perry Ave

Big Rapids, MI 49307

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Contact Carrie Krause:

231-796-3517

ckrause1975@yahoo.com

Primero, cuéntenos sobre usted:

Información de los Padres

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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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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Afiliación de la iglesia local

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Comentarios

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(Youth Group Only) Student Self-Transportation: Does your high schooler have permission to transport themselves to/from Family Night programs and special events (if applicable)?

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(Youth Group Only) Student Self Sign-out: Does your high schooler have permission to sign him- or herself out without the presence of a parent or authorized adult?

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Off-Site Notice: I grant my high schooler permission to leave the premises for prearranged activities (Youth Group only; ex.: scavenger hunt around town). I acknowledge that GEMS or Cadets clubs might meet off-site for a prearranged activity where parent transportation to/from the alternate site is required (ex.: corn maze or CranHill). Parents will be informed of all off-site activities prior to club.

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Injury Waiver: I understand some activities provided may present potential risk of injury. I do not hold Fellowship Church of Big Rapids or any program leaders responsible for any incidents resulting in injury.

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Permission to Use Photo: May we have permission to take a photo of your child and use in church publications and church presentations?

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Parent/Guardian Signature: Please type your name here as an electronic signature verifying you have accurately filled out the registration form for your participant and understand and agree to the information within it.

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Cuéntanos sobre tu participante

Please note the following policies regarding grade/age:

To participate in Kingdom Kids, children must be 4 by September 1 of the programming year.

To participate in GEMS and Cadets, children must be in first grade and 6 by September 1 of the programming year.

To participate in Youth Group, students must be in ninth grade and 14 by September 1 of the programming year.

If your child is in a grade that does not match the age criteria (d/t skipping a grade or homeschooling, for example), please indicate in the comments section and/or select the grade that matches their age (for age-appropriate placement purposes). Thank you for understanding!

Nombre

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Apellido

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Grado Entrando

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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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Comentarios

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