Saddle Up for Jesus                                                   June 12-15, 2022
Hosted by Minda Street Church of Christ
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Adult Name *
First and last name
How many children will you be registering? *
Child's First Name *
Child's Last Name *
Gender *
Grade level finished as of June 2022 *
T shirt size: *
Food Allergies: Only list foods that MUST be avoided. If none, put NA. *
Legal Guardian's Name and Phone Number *
Emergency Contact Name and Phone Number *
I will also attend the adult classes at VBS. *
Name of Adult(s) Attending: *
I AM REGISTERING MORE THAN ONE CHILD *
Photo Release: I authorize Minda Street Church of Christ to release photos of my child/children to the church's social media as part of the promotion/celebration of VBS. *
By submitting this form, I grant permission for my child(ren) to participate in Minda Street Church of Christ's VBS 2022 and all planned activities associated with this event.  I agree not to hold Minda Street Church of Christ or any representatives associated with this event liable or responsible for injuries, incidences, and/or medical expenses that might arise during mine/my child's participation in VBS.
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