Christ The Rock Lutheran VBS 2017
Participant Name(s) and Age
e.g. Sally Jones (5), Tim Smith (8), Noah Smith (5)
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Parent's First Name
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Parent's Last Name
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Address
Street, City, State, Zip
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Phone Number
505-555-5555
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Parent's Email Address
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Allergies?
Snacks will be available. Please help us avoid any potentially harmful reactions. If anyone in your group has any allergies please list them below. e.g. Tim Smith (tree nuts)
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Registration Payment
Registration cost is $5 per child. A PayPal link will be sent to you once you have completed the registration. Please call the church office at 505-324-9739 or email at church@ChristTheRockLutheran.com to make arrangements to pay by check or cash.
Permission to Participate and Photo Release
The registrant has my permission to participate in Christ the Rock Lutheran Maker Fun Factory VBS 2017. I understand that while participating in Maker Fun Factory VBS activities the registrant may be photographed for print, video or electronic imaging. I understand the images may be used in promotional materials for Christ the Rock Lutheran Church. I acknowledge that these images will be the sole property of Christ the Rock Lutheran Church.
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