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Registracion del Participante

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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

Primero, cuéntenos sobre usted:

Información de los Padres

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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Teléfono de Contacto 1

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Teléfono de Contacto 2

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Nombre del Contacto de Emergencia

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Relación del Contacto de Emergencia

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Teléfono del Contacto de Emergencia

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Nombre de recogida alternativo

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Nombre alternativo de recogida 2

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Afiliación de la iglesia local

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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.

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Cuéntanos sobre tu participante

Nombre

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Apellido

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Grado Entrando

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Género

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Fecha de nacimiento

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Talla de Camisa

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Alergias

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Preocupaciones Médicas

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¿Tienes amigos con los que te gustaría estar juntos? Haremos todo lo posible para juntar a los amigos seleccionados en el mismo grupo, pero no podemos prometer que todas las solicitudes serán posibles.

Amigo 1 Nombre

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Amigo 1 Apellido

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Comentarios

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