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2019-20 Family Registration Journey Christian Church
Child and Student registration for Children's and Youth programming at Journey
Parents/Guardian Last Name *
Your answer
Parents/Guardian First Name
Your answer
Address *
Your answer
Mobile Phone *
Your answer
Is text message available *
Home Phone *
Your answer
Email *
Your answer
Preferred method of receiving information: *
Any other information you want to share:
Your answer
Dismissal Acknowledgement: I understand that my child/children (4th grade and younger) will remain in his/her gathering room until I or an authorized adult (must be 12 or older) picks him/her up. I will be prompt when picking up my child/children so not to presume upon the volunteer's kindness. *
Photography Waiver: I grant to Journey Christian Church the right to take photographs of me and my family in connection with events, classes and outings. I agree that Journey Christian Church may use such photographs of my family members without our names and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content. *
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