Name: ______________________________________________grade: ________ Street address: _____________________________________________________ City: _______________________________ State: _____________ ZIP:________ Home telephone: ( __________________) Cell phone: (___________________) In case of emergency, contact:__________________________________________ Mother: ________________________Father:_____________________________ Other: ___________________ Allergies or other medical conditions:____________________________________ Home church:______________________________________________________
T-shirt size _______ (children’s
XS-2/4; S-6/8; M-10/12; L-14/16; XL-Adult S) |
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Permission Form for
Sterling First United Methodist Church The Sterling First United Methodist Church will use pictures, first names (if needed), activities or other church circumstances for professional purposes (website, news articles, etc.) that are taken of your child/children during activities with the church. This permission will be for all activities that your child/children is involved in at Sterling FUMC until they no longer choose to be involved. I am the parent or legal guardian of _____________________________ and hereby approve and consent to the use of photographs, first name, and activities of my child/children to the terms outlined. _____________________________________________ __________________________ (Parent or guardian) (date) |