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VBS 2025: Hero Hotline Registration Form
Hero Hotline VBS hosted at Mt. Olive Lutheran Church from July 20th-24th
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* Indicates required question
Child's Name
*
Your answer
Parent/Family/Guardian Name
*
Your answer
Address
*
Your answer
Email Address
*
Your answer
Phone Numbers
*
Your answer
Child's Date of Birth
*
MM
/
DD
/
YYYY
Child's Age
*
Your answer
Last grade completed
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Your answer
Home Church (if applicable)
*
Your answer
Special Needs/Allergies/Medical Info
*
Your answer
Emergency Contact (please list two with phone numbers)
*
Your answer
Photo Release
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Yes. I give permission to Mt. Olive Lutheran Church to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.
No. I do not give permission for my child's photograph to be used.
Required
Parent/Guardian Signature
*
Your answer
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