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Registracion del Participante

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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

Primero, cuéntenos sobre usted:

Información de los Padres

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.

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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Teléfono de Contacto 1

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Teléfono de Contacto 2

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Nombre del Contacto de Emergencia

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Relación del Contacto de Emergencia

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Teléfono del Contacto de Emergencia

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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.

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Cuéntanos sobre tu participante

Nombre

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Apellido

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Name for Child's Badge

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Grado Saliendo

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Género

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Fecha de nacimiento

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Alergias

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Preocupaciones Médicas

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¿Tienes amigos con los que te gustaría estar juntos? Haremos todo lo posible para juntar a los amigos seleccionados en el mismo grupo, pero no podemos prometer que todas las solicitudes serán posibles.

Amigo 1 Nombre

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Amigo 1 Apellido

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Amigo 2 Nombre

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Amigo 2 Apellido

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Amigo 3 Nombre

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Amigo 3 Apellido

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Comentarios

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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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