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Registracion del Participante

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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

Primero, cuéntenos sobre usted:

Información de los Padres

Nombre

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Apellido

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Correo Electrónico

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Dirección 1

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Dirección 2

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Ciudad

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Estado/Provincia

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ZIP/Código Postal

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País

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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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Nombre de recogida alternativo

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Teléfono de recogida alternativa

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¿Le da permiso al personal de CTK para tomar fotografías de su hijo para la presentación de diapositivas final de SFA?

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Afiliación de la iglesia local

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Comentarios

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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)

¿Le da permiso al personal de CTK para tomar fotografías de su hijo para la presentación de diapositivas final de SFA?

This field is required.

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Cuéntanos sobre tu participante

Nombre

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Apellido

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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)

Grado Entrando

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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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