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Registration Information

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I understand that as a participant of the Vacation Bible School (VBS) at Jerusalem Baptist Church (JBC), that my child(ren) may be photographed or videoed during normal activities, and these photos / videos may be used by JBC in promotional materials and on the internet. I understand that my child's name will not be connected with his / her picture and / or video.

Name of adult (other than parents or guardians) to notify in case of emergency

Name of adult (other than parents or guardians) to notify in case of emergency

By submitting this form, you authorize Jerusalem Baptist Church to obtain emergency medical care deemed necessary for your child in the event that you or an emergency contact cannot be contacted/ located immediately.

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Payment Details

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