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STUDENT INFO
Student Name *
Student Name
Birthday
Birthday
Address
Address
Home Phone
Home Phone
Student Cell
Student Cell
PARENT/GUARDIAN #1 INFO
Parent/Guardian #1 Name
Parent/Guardian #1 Name
Cell
Cell
PARENT/GUARDIAN #2 INFO
Parent/Guardian #2 Name
Parent/Guardian #2 Name
Cell
Cell
PHOTOGRAPHY/VIDEO RELEASE
Photography/Video Approval
I hereby authorize Metro Community Church to publish photographs and videos taken of my child(ren) during church events on their webpage or facebook page as well as in printed publications. PLEASE CHOOSE EITHER OF THE FOLLOWING...
Photography/Video Disapproval