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Participant Registration

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Registro en Español

Logos Bible Church

Location

623 Hill Rd. N.

Pickerington, OH 43147

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Contact April or Chris:

614-834-4178

LogoseventsVBS@gmail.com

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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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 2 Name

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Home Church Affiliation

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By registering my child, I give permission for my child(ren) to participate in the Logos Bible Church (LBC) Vacation Bible School event and all things associated therein. In the event of an emergency, LBC will take any steps necessary to ensure the safety and health of my child(ren). I hereby release LBC, its employees, agents, and volunteers, from liability for any outcomes that my child(ren) may sustain during the event. Submitting this form serves as my electronic signature.

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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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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Comments

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