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Participant Registration

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Registro en Español

Hillcrest Church of the Nazarene

Location

2000 Muldoon Rd

Anchorage, AK 99504

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Contact Paige Hoggard:

907-250-8243

paigehoggard@hotmail.com

First, tell us about yourself:

Parent Information

We are so excited to start up the new Caravan year!

Please take time to accurately complete the registration form.

We will be looking to communicate upcoming events via email, so please make sure we have a reliable email address and that my email is in your contact list (paigehoggard@hotmail.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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Text Message Phone

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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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Minor Photo Release: I give Hillcrest Church of the Nazarene permission to use any still and/or moving image being audio or video footage depicting my child taken during Caravan events at Hillcrest from September 1, 2021 to May 25, 2022.

Minor Photo Release

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By checking this box, I affirm that I am the parent or legal guardian of the aforementioned child. I grant permission for my child to participate in the Caravan program sponsored by Hillcrest Church of the Nazarene. I authorize the Leadership of Hillcrest Church of the Nazarene to care for the administration of First Aid treatment for any minor injuries my child receives during the event. If the injury is life threatening, or requires emergency treatment, I authorize the Leadership of Hillcrest Church of the Nazarene to summon any or all professional personnel to attend, transport, and treat my child. I agree to hold harmless any Staff, Assistants, and Volunteer Workers of Hillcrest Church of the Nazarene from any and all claims, suits, costs, and actions of any kind whatsoever, arising from the exercise of the power granted by this authorization.

First Aid Release

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Missions Library: I want my family to participate in the Library program. I understand that we will be responsible for maintaining the books that are checked out to my family, and submitting the bookmark to show that the book has been completely read.

This field is required.

Click here for your FREE, Buddies Ebook Pack

By checking the box you will be emailed your Free Buddies Ebook 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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Comments

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I want my child to participate in the Missions Library program.

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