Vacation Bible School 2021
Please fill out this form and click submit.
Student Name
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Grade entering fall 2021
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List Allergies
*
Parent Name
*
Parent Email
*
This address will receive a confirmation email
Phone
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Address
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Please authorize the following by checking the boxes.
*
Please select all that apply.
[Photography] I give permission for the church to use pictures of my child/family for use in promotional material such as our website, our Facebook page, church publications and the local newspaper.
[Travel] I give permission for my child to ride in any vehicle designated by the adult whose care I have entrusted my child with while attending and participating in activities sponsored by the Linn Community Christian Church.
[Medical] I give permission for my child to receive emergency medical analysis and treatment for injuries or sickness that may occur in situations where I cannot be reached personally.
Who CAN pick up your child? (Full name) Note: Your student will not be allowed to leave with someone not listed.
*
Who CANNOT pick up your child? (Full name)
*
Submit
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