December 6, 2018 at 3:00pm EST
Hereford Faith & Life Church 16931 York Rd Monkton MD 21111
Sunday January 27th 2019
For GIRLS who live in the REAL WORLD of grades, comparisons and feeling different, who want to let go of insecurity and start LIVING ON PURPOSE and proudly declare
THIS IS ME!
Consent and Liability Waiver
I HEREBY REGISTER MY CHILD for This Is Me program on Sunday , January 27, 2019. I hereby release and hold harmless the Hereford Faith & Life Church and Grace Fellowship Church of Shrewsbury , including all volunteers, from any liability that may arise from my child’s participation. I acknowledge that I am responsible for any medical expenses due to my child’s illness or injury.
I hereby authorize Hereford Faith & Life Church to photograph my child or take video footage of my child. Further, I authorize the use of any such photographic or electronic reproductions of my child for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by Hereford Faith & Life Church or Grace Fellowship Church of Shrewsbury. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmission or playback.
PIZZA - YOGA - CRAFTS - COOKING
This information must match the address on file with your
bank or credit card.
Want to use a different payment method? Log
out or edit your account.
This should be 3 or 4 digits