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Participant Registration

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Registro en Español

Midland United Methodist Church

Location

9100 Warm Springs Road

Midland , GA 31807

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Contact Rebecca Rogers :

706-561-6998

rrogers.midlandumc@att.net

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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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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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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Every year we have awesome fun T-shirts for our kids! They are themed and a great way to know just what to wear each night if you are ever wondering plus you will want one on Friday when our kids show off their dancing shoes.

T-shirts are purchased first come first available, so if you register for a T-shirt it gives an idea of how many we will need to order for the kids who are registered before VBS with a few extras, but physical shirts are not reserved and will be available on Monday afternoon when you check your kids in for pick up. We cannot hold sizes or shirts as we never know who will be diving into this fun filled week. We do our very best to plan for as many kids as possible without to many extras!

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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Friend 3 First Name

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Friend 3 Last Name

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Comments

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