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Child’s Name

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Grade Just Completed

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Mailing Address (if Different)

City

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Mother or Guardian Name

Cell Phone

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Father or Guardian Name

Cell Phone

Work Phone

Emergency Contact

Relationship

Cell Phone

Other Phone

Authorized Pickup Person

Pickup Person Phone

Medical Conditions

Any Allergies

Do they have an EpiPen

Yes No Not Applicable

Photographic Release:We hope your child will enjoy their upcoming time at Vacation Bible School (VBS) here at Eternal Faith Baptist Church (EFBC). As part of our VBS activities, we would like to capture some precious moments by taking photographs of the children participating in various VBS programs and events. These photographs may be used in our future VBS presentation during the closing ceremony and may also be shared on our church's website or social media platforms to showcase the wonderful experiences our children will have during VBS. We value your child's privacy and want to ensure that you are comfortable with this. Therefore, we kindly request your permission to include your child's photograph in our future VBS presentation and potentially on our website or social media. Please let us know your preference by checking one of the following options:

I grant permission for EFBC to use my child's photograph in the future VBS presentation and on the website or social media. I grant permission for EFBC to use my child's photograph in the future VBS presentation only, the website, but not on social media. I grant permission for EFBC to use my child's photograph in the future VBS presentation only, but not on the website or social media. I do not grant permission for EFBC to use my child's photograph in any future VBS-related materials.

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