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Participant Registration

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Registro en Español

Bell Shoals Baptist Church

Location

6414 Golf and Sea Blvd

Apollo Beach, FL 33572

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Contact Isabelle Armstrong:

8136412222 ex. 104

isabelle.armstrong@bellshoals.com

First, Tell Us About Yourself:

Parent Information

Register kids who have completed K - 5th grade. Please select grade COMPLETED. Do not register your child younger than completed Kindergarten unless you have been approved as a volunteer by our staff.

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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List up to three persons you authorize to pick up your child and their phone number.

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Do you attend a local church?

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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 Leaving

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Gender

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Date Of Birth

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Shirt Size

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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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Friend 3 First Name

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Friend 3 Last Name

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Comments

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