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Participant Registration

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Plains Presbyterian Church

Location

326 Plains Church Road

Cranberry twp, PA 16066

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Contact Erika Selling:

724-538-8785

plainsvbs@gmail.com

First, Tell Us About Yourself:

Parent Information

VBS is July 20th-24th from 6:30-8:30 pm. Online registration closes on June 30th! If you would like to purchase a t-shirt for your child, payment can be submitted via the donation link or cash/check on the first night of VBS.

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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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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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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Name for Child's Badge

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Grade Leaving

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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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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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Would you like to purchase a Rainforest Falls VBS shirt for your child? Cost is $8.00

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If yes, please select your child's size below:

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