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REGISTRATION
We are excited about the Movie & Game Night on Friday, November 12th!
Please register below, and we will provide you with more information on this event.
Parent/Guardian's Name
Parent/Guardian's Name
Address
Phone Number
Emergency Phone Number
Email Address
#1 Child's Name
Age
If Child #1 has any allergies, medical concerns, or special learning needs, please state below.
#2 Child's Name
Age
If Child #2 has any allergies, medical concerns, or special learning needs, please state below.
#3 Child's Name
Age
If Child #3 has any allergies, medical concerns, or special learning needs, please state below.
#4 Child's Name
Age
If Child #4 has any allergies, medical concerns, or special learning needs, please state below.
I acknowledge that pictures of my child(ren) may be taken while attending this event. I also acknowledge that pictures may be posted to our social media or website for the purpose of illustrating the activities at Twin Lakes Baptist Church. Any pictures posted to our social media or website are considered to be the property of Twin Lakes Baptist Church and may not be sold or reused without the express consent of Twin Lakes Baptist Church. Parents who have special concerns or requirements regarding photography of their child(ren) agree to submit a "do not photograph" form to the Twin Lakes Baptist Church administration office in advance of this event. The undersigned has read the foregoing disclaimer, agrees to its terms, and hereby gives consent for the above-stated child(ren) to attend this event. ELECTRONIC SIGNATURE REQUIRED (Please Type Name):
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