Crossroads Prom will be held at Crossroads Church; 500 South, I-35, Belton, TX 76513 

The cost will be $5 and all proceeds will go to Body of Christ Clinic. 

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* 1. Permission to use photos

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* 2. In case of an emergency, I give permission for my child to receive medical treatment. In case of such an emergency, please contact:

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* 3. By initialing below you give permission for your child to attend the Crossroads Prom. In case of any injury or accident I will not hold Crossroads Church liable.

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