• 2017-2018 Registration Form

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  • Family Information

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  • Emergency Information:

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  • PHOTOS: I understand that photos and videos may be taken of church activities which may include my child/children and may be used in print or on the church's website. I consent to these photos/videos being used in this manner. This authorization will remain in effect indefinitely, unless cancelled in writing by the undersigned.

  • MEDICAL AUTHORIZATION: In case of a medical emergency, I hereby give authority to any hospital and/or emergency medical personnel to render immediate medical aid, including transport if necessary, for my child, named above, as may be required at the time for his/her health and safety. This authorization will remain in effect indefinitely, unless cancelled in writing by the undersigned.

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