The Grove VBS Registration
Email address
Name/Nombre
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Age
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Birthdate/ La Fecha de Nacimiento
Your answer
Current Grade (Grado Actual)
Address / Direccion
Street/Calle,
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City/Ciudad, State/Estado & Zip Code/ Codigo Postal
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Parent/Guardian Contact Information
Name/ Nombre
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Phone/ Telefono
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Email Address
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Emergency Contact/Contactos de Emergencia
Name/Nombre
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Phone/Telefono
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Relationship to Child
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Participation Waiver
Please read carefully
I hereby release, acquit and agree to indemnify and hold harmless The Grove Presbyterian Church and it’s employees, volunteers, agents and it’s successors and assigns from any liability or claims of any kind whatsoever resulting or arising from my/my child(ren)’s participation in any programs offered or sponsored by VBS.

Acknowledgement of Participation Waiver
Parent Release Form for Media Recording

I, do hereby grant or deny permission to The Grove VBS to use the image of my child, as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in materials that include, but may not be limited to, printed materials, images and/or video taken of my child for us in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos and digital images such as those on the VBS marketing material.

Grant/Deny Permission:
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