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Registracion del Participante

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Victory Church

Location

810 Buena Vista Way

Chula Vista, CA 91910

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Contact Mike Chastain:

619-262-4444

victory.kids@victorysouthbay.org

Primero, cuéntenos sobre usted:

Información de los Padres

Registration is available to potty-trained* K through 5th grade students.

*We will not have diaper changing services available.

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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Nombre alternativo de recogida 2

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ID checks will be required to pick up children at the end of each day's program. This includes any Alternate Pickup designations.

Acknowledge ID Check

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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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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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By registering for this program, you consent to photographs and/or audio/video/film of your child(ren) that may be utilized in media that includes, but is not limited to, the following: church bulletin boards, church newsletters, church websites, church projects, newspaper articles, television coverage, websites, internal or external publications, video presentations, and/or church presentations.

Media Release

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Comentarios

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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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