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* 1. Youth's Name:

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* 2. Parent's Name:

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* 4. Phone:

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* 5. What days do you plan on attending the event?

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* 6. Does your child have any allergies we should be aware of?

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* 7. I give my consent for images (photographs/videos) of my student to be taken and used to document the activities of the Trinity Evangelical Lutheran Church. I grant the Trinity Evangelical Lutheran Church permission to use the images for educational and promotional purposes (social media, website, press releases, etc.). I understand that no other personal information about my student will be shared with third parties.

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* 8. I acknowledge that Vacation Bible School may incorporate physical activity, and any participation on church grounds or events where students participate as members of Trinity Evangelical Lutheran Church is done at our own risk. I agree that my student is voluntarily participating in all activities and use of said facilities, premises, (including parking lot), and designated Trinity Evangelical Lutheran Church venues. I assume all risk of injury, illness, damage, or loss to property that may result, including, without limitation, any loss or theft of any personal property. I agree that this consent and assumption of risk statement covers each and every event/activity sponsored by the Trinity Evangelical Lutheran Church.

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