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Registration Information

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Parent / Guardian # 1 Info:

Please check this box if you are serving as a volunteer for VBS and you have filled out the volunteer registration form. (PLEASE DO NOT CHECK THIS: if you have already checked this form in the K-6th VBS signup form.)

Would you like to pre-order a CD? $10 will be added to your order.

$8 will be added to your order.

$15 will be added to your order.

Parent / Guardian # 2 Info:
Emergency Contact #1 Info (other than parent / guardian):
Emergency Contact #2 Info (other than parent / guardian)::
Legal Information

By checking this box, you agree that you have read and agreed to CGLCS's liability release agreement. View full agreement at: http://goo.gl/Hzj5oS

I understand the photograph(s) or video or audio recording(s) taken of my minor child by agents, employees or representatives of Christ’s Greenfield Lutheran Church & School (hereinafter called “CGLC”) shall be used in connection with CGLS’s dissemination of information to the general public. I hereby irrevocably authorize CGLC to copy, exhibit, publish or distribute any and all such images and audio of my minor child or wherein my minor child appears, including composite or artistic forms and media, for purposes of publicizing CGLC programs or for any other lawful purpose. In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my child’s likeness appears. I hereby hold harmless and release and forever discharge CGLC from all claims, demands and causes of action which I, my heirs, representatives, executors, administrators or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization.


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