Food allergies, medical concerns, and/or learning challenges (type N/A if none are applicable) *
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Emergency Contact (this person will be called if parent(s) cannot be reached). *
Your answer
Emergency Contact phone *
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If the parent/guardian will not be dropping of and/or picking up the child at Vacation Bible School, please list below the name(s) and contact number(s) of the other person(s) responsible for drop-off/pick-up. *
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I hereby grant Epiphany Lutheran Church permission to photograph/film the above participant in any manner/form for any lawful purpose for the ministry of the church. *
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Is there anything else we should know about your child? *
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