Participant Registration

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Spring Creek Baptist Church

Location

14975 State Route HH

Rolla, MO 65401

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Contact Heather Dablemont:

573-201-4574

hcdablemont@gmail.com

First, Tell Us About Yourself:

Parent Information

Welcome to Spring Creek's VBS 2026: Illumination Station! We are excited to have your child join us as we shine a light on who Jesus really is.

Please visit our event homepage for more details about the event.

Enter Parent/Guardian information first in the purple section and child information in the orange section.

*Please select the “Add Another Participant” button to add another child with the same Parent/Guardian information before selecting the “Register!” button.

Please contact Heather Dablemont if you have any questions: 573-201-4574 or hcdablemont@gmail.com.

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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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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Home Church Affiliation

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How did your hear about our VBS?

Multiple selections are allowed.

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Comments

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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

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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Allergies

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Medical Concerns

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Did a friend invite you who you would like to be placed with? We will do our best to group selected friends together in the same class, but we cannot promise all requests will be possible. Friend's Name:

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Comments

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