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* 1. Child's Full Name

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* 2. Birthday

Date

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* 5. Parent Name

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* 6. Emergency Contact Phone Numbers

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* 7. Food Allergies

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* 8. If yes, please list

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* 9. Any other conditions or things we should know about?

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* 10. I give consent for my child’s appearance in photos and videos to possibly be featured in our church’s publications, websites, social media posts, and other media.

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