Olympians and Gopher Buddies:  A Word of Life Ministry 
Registration Form 2022-2023
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Email *
Child's Name *
Home Address *
Parent/Guardian Information (name, phone number, and emergency contact) *
Child's Birthdate *
Child's Grade *
Required
Allergies/Medical Concerns *
 ** Please Note there is a $20 materials fee for your child's Quiet Time Journal**
Manteo Baptist Church (MBC) has permission to photograph my child. MBC has the right to publish perpetually and exclusively for all media the right to use and incorporate these photos or video footage in approved activities of MBC solely for the purpose of MBC's promotional materials and publications and I will waive the rights of compensation or ownership thereto. 
 *
Required
I give permission for my child to participate in off campus activities as needed for Olympian activities and service projects for the 2022-2023 club year.

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Required
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