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Participant Registration

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Registro en Español

Peace Lutheran Church

Location

6580 24-Mile Road

Shelby Township, MI 48316

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Contact Holly Nelson:

586-731-4120

vbs@peaceshelby.org

First, Tell Us About Yourself:

Parent Information

Parent's, please keep the following in mind when registering your child. We ask for your honesty and integrity. Our program is not set for children 3 years old and younger.

Q: WHAT AGES ARE ELIGIBLE TO PARTICIPATE? MY CHILD IS 3 BUT IS VERY MATURE FOR HIS/HER AGE. CAN YOU MAKE AN EXCEPTION TO YOUR POLICY?

A: Our policy is to accept students 4 years old through those who are entering 6th grade.Unfortunately, we cannot make any other exceptions to this rule. This guideline is in place for the safety of your child, and for the best interests of our volunteers.

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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Parent Cell Phone

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Permission to Text

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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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In which format do you prefer to receive VBS music?

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Do you have a church home?

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Would you like to hear more about Peace's Church or School?

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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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Allergies

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Medical Concerns

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Comments

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