GLEN ROSE FIRST METHODIST
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2 Good 2 Miss Tuesdays in July (2022) - Registration
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Indicates required field
Name of Child #1
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First
Last
[object Object]
Grade Child #1 is entering into:
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Name of Child #2
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First
Last
Please complete if you are registering more than one child
Grade child #2 is entering into:
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Name of Child #3
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First
Last
Please complete if you are registering more than one child
Grade Child #3 is Entering into:
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Name of Child #4
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First
Last
Please complete if you are registering more than one child
Grade Child #4 is entering into:
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Name of Parent/Guardian
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First
Last
Phone Number
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Email
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Emergency Contact
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First
Last
[object Object]
Emergency Contact Phone Number
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Please include any allergies or other info we should know below:
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Photo Release:
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Yes
No
If I check YES, I hereby grant Glen Rose First United Methodist Church permission to copyright and use photographs/videos take at 2 Good 2 Miss Tuesday events of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith or the use to which it may be applied.
Medical Release and Permission to Attend:
I hereby grand Glen Rose First United Methodist Church permission for my child (named above) to attend 2 Good 2 Miss Tuesdays in July 2022. I understand that the information I give for this registration will only be used by the church. Furthermore, I give my permission for the staff and volunteers of the church to administer basic first aid to my child in the event of an injury. I understand that the staff and volunteers of the church will contact emergency services in the even of a significant injury and all expenses for such emergency service will be paid by me.
I agree with the Medical Release and Permission to Attend policies
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Yes
No
Name of Person Completing Form:
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First
Last
Date Form Completed (MM/DD/YY)
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