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Participant Registration

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Registro en Español

Christ the King Community Church

Location

4405 Hope Valley Drive

Durham, NC 27707

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Contact Jenny Scott:

919-489-1711

jenny@ctkhome.org

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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Country

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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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Alternate Pickup Name

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Alternate Pickup Phone

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Are you in need of a scholarship for your child(ren)?

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Home Church Affiliation

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Comments

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The photo consent portion is to ensure that there is written consent or refusal for photos taken at events that your child may be in. Photos are used to show how God is working in our program through things such as a slideshow shown at the end of SFA and on our church Facebook page so you can have the ability to access it. Children's names will always be kept confidential, and families will never be tagged in said post. Please contact me if you have any questions (jenny@ctkhome.org)

Do you give permission to CTK staff to take photographs of your child for the end of SFA slideshow?

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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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Please choose the grade your child is ENTERING for the 2026-27 school year.

(pre-k is 3-5 years old)

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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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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