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Participant Registration

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Registro en Español

Messiah Lutheran Church

Location

905 NW 94th Street

Vancouver, WA 98665

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Contact Tori Beavin:

360-574-7081

torib@messiahvancouver.org

First, Tell Us About Yourself:

Parent Information

Thank you for signing your child up for VBS at Messiah! It is going to be an amazing week, and we are glad that your child will be part of it!

Throughout the week, pictures will be taken of all of the fun happening at VBS. By signing your child up for VBS, please be aware that your child may appear in some pictures that are shared on Messiah Lutheran's social media pages, digital newsletter, and website. If you have any questions or concerns about this, please contact Tori: torib@messiahvancouver.org

More information about VBS will be sent your way via email soon!

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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Alternate Pickup Name

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Alternate Pickup Phone

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Alternate Pickup 2 Name

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Alternate Pickup 2 Phone

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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 Entering

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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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Does your child have any special needs that we should be aware of? If so, do they need any extra supports (i.e. paraprofessional, interpreter, etc.) that we might be able to help provide to better meet your child's needs?

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Comments/anything else you want us to know:

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