Cannon's Children’s Day Crusade
July 13th, 2019
10:00am - 5:00pm
Child’s First Name *
Your answer
Child’s Last Name *
Your answer
Grade just completed *
Any allergies, disabilities or other pertinent information regarding your child?
Your answer
Parent’s Name *
Your answer
Parent’s Phone Number *
Your answer
Email Address
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Mailing Address *
Your answer
Pick-Up Plans *
Please list any names that can pick up your child.
Your answer
Picture Permission *
Is it ok to take pictures of your child and use in slide show or church website?
Waiver *
I give my permission for the church staff to administer basic first aid to my child (named above) in the event of an injury. I understand that church staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.
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