Parent / Guardian #1 *

First Name

Last Name

Phone *

(###)

###

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I would like to volunteer for... *

Snacks

Wednesday Night Youth Group

Life Crew

Events

Nothing

Media Release

We are always snapping photos and videos at our services and events. Our kids love to see the memories of things we do together and they love to see themselves in a cool video we made! We do occasionally use our photos and videos for promotion inside our church as well as on social media and our website. Please check the box below if you are NOT comfortable with your child being on camera.

I am NOT comfortable with my child being photographed

Parent / Guardian #2

First Name

Last Name

Phone 2

(###)

###

####

I would like to volunteer for...

Snacks

Wednesday Night Youth Group

Life Crew

Events

Nothing

Name *

First Name

Last Name

Birth Date *

MM

DD

YYYY

Phone

(###)

###

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