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* 1. Please begin by entering the contact information for the Parent(s)/Guardian(s):

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* 2. Child #1

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* 3. Child #2

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* 4. Child #3

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* 5. Child #4

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* 6. I would like to help out in the following areas (we request that all parents/guardians volunteer in some area at least once per season.)
Select all that apply:

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* 7. Please review and initial the below emergency medical consent agreement.  

I (we) hereby authorize the teachers / staff of St. Stephen's Church School to act on my (our) behalf if emergency treatment is needed for my (our) child.

If you agree, please type "Agree" followed by your initials. If not, please type "Do Not Agree."

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* 8. Please review and initial the below photography / film consent statement:

I (we) give permission for St. Stephen's Episcopal Church to use any photograph or film of my child(ren) registered including, but not limited to, Advertising, promotion, public relations and news releases (including our website.)

If you agree, please type "Agree" followed by your initials. If not, please type "Do Not Agree."

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