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Please fill out ONE FORM PER CHILD.
Child's Name (Only list ONE Child)
Your answer
Child's Sunday School Class
Any Allergy and/or Medical Needs
Your answer
Parent(s) Name
Your answer
Parent's Best Phone Number (Include AREA CODE / This phone number must be on from Drop-Off to Pick-Up)
Your answer
Parent's Best Email (For "Day Of" Details)
Your answer
Permission to use Photograph: I give my permission for to be photographed at First Baptist Church of Shreveport or any of its activities and/or events, including Vacation Bible School and camps. The photographs become the property of First Baptist Church of Shreveport and could be used in a variety of ways, including social media and advertising, such as, Facebook, website, newspapers, magazines, billboards, and other forms of communication and advertising. Medical Consent: I consent to the provision of any emergency medical care which an attending physician deems to be necessary for the health of myself and those I have registered. I understand that any and all medical expenses incurred are my responsibility and that there is no medical insurance coverage provided by First Baptist Church. The undersigned, heirs and assignees agree to refrain from holding First Baptist Church, its employees and agents responsible for any injuries incurred while attending this event. I hereby give my consent to allow staff and volunteers to administer certain over the counter medications (aspirin, Peptobismol, Tylenol, etc.)
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