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Participant Registration

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First Byron CRC

Location

8541 Byron Center Ave

Byron Center, MI 49315

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Contact Riley Keegstra:

616-878-9768

rkeegstra@firstbyroncrc.org

First, Tell Us About Yourself:

Parent Information

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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Country

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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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Home Church Affiliation

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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 give us permisson to take photos of your child for our end of the week slideshow?

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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.

Note that crews are assigned based on the following (3) age groups:
preschool-kindergarten, 1st-2nd grade, 3rd-5th grade

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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