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Participant Registration
*Participant's First Name:  __________________________________
*Participant's Last Name:  __________________________________
*Parent/Guardian Name:  __________________________________
*Address:  __________________________________
*City:  __________________________________
*State:  __________________________________
*Zip:  __________________________________
*Primary Phone:  (______)______-________
Cell Phone:  (______)______-________
Additional Cell Phone:  (______)______-________
May we text you reminders and updates:    Yes   No  (circle one)
*Email:  __________________________________
Additional Email:  __________________________________
*Birthday:  __________________________________
*Age/Last Grade Completed as of August 3rd 2020:  __________________________________
*Gender:  Male  Female  (circle one)
Are you a member of this church?:    Yes   No  (circle one)
Do you attend Church?:    Yes   No  (circle one)
If so, where?:  __________________________________
May we have permission to use your child's photograph in church publications?:    Yes   No  (circle one)
Comments:
Would you like to pick up VBS at-home packet:    Yes   No  (circle one)
* Required