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Registracion del Participante

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The Village Church

Location

4229 Pacetti Road

Saint Augustine, FL 32092

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Contact Grace Smith:

904-466-3699

seedsandloaves.ministry@gmail.com

Primero, cuéntenos sobre usted:

Información de los Padres

REGISTRATION IS ONLY OPEN TO FAMILIES WHO ATTEND THE VILLAGE CHURCH AT THUS TIME

Please complete all Sections of this form. If your child is not in school yet but is potty-trained, please register them as Pre-K. Note: only those listed on this form as a parent/guardian or alternate pickup will be allowed to pick your child up.

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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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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Nombre alternativo de recogida 2

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Teléfono alternativo de recogida 2

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Afiliación de la iglesia local

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How did you hear about this event?

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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.

Cuéntanos sobre tu participante

Complete the registration below for your child/children. Note: Students entering 6th grade should register as a volunteer.

Has your family attended VBS at The Village Church or through Seeds & Loaves before? (Registration is open to members of TVC on March 2nd, returning VBS families on March 23rd, and the public on March 30th)

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Nombre

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Apellido

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Grado Entrando

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Género

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Fecha de nacimiento

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Talla de Camisa

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Alergias

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Preocupaciones Médicas

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Will your child need a 1-on-1 buddy? (Typically for children with developmental or behavioral differences)

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If yes, how can a buddy best serve and benefit your child?

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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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How can we be praying for your family?

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Comentarios

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