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Participant Registration

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Our Lady's Immaculate Heart Church

Location

510 E 1st St

Ankeny, IA 50021

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Contact Klaire Madden:

515-371-5435

klaire.madden@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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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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We will have a photographer taking pictures during the different activities throughout the week, as well as a large group photo for the church bulletin. Do we have your permission to take pictures of your child for those purposes?

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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

IMPORTANT- Registration is a two-step process

PAYMENT - There are three ways payment can be made: (1) Click the button in the "FEES" box on the VBSPRO registration home page or (2) Click the payment link in the confirmation email. (3) Bring a check or cash to the OLIH front office.

PLEASE NOTE – You will need to manually enter the total amount of payment, it will not be calculated for you automatically.

Registration will be considered complete, and spots guaranteed, once the participant information AND correct payment have been received.

I have read the above payment information

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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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I would like to purchase a music CD for $7

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I would like to purchase a digital download music card for $7

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Allergies

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Medical Concerns

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Does your child have an IEP or 504 plan?

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Does your child need 1-on-1 assistance?

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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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I am registering this individual for the Special Needs VBS

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