Rooted to the Rock Child Media Release/Parent Contact Form
Media release and parent contact information for the 5th-8th grade youth group at St. Mark Ministries.
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Email *
First and Last Name of Parent(s) *
Cell Phone Number *
I give permission for St. Mark Church to use photographs for promotional reasons. *
I agree that I will not sue St. Mark Church if my child is injured at Rooted to the Rock Bashes. *
Please list your child(ren) by name and grade. *
Are there any special talents, abilities, needs, or allergies that we should be aware of?
In order for this program to be a success, we need your help. We are looking for 3-5 volunteers each month, 5:45-8:15 pm. If we have enough volunteers, you will only need to serve one month per year unless you'd like to serve more often. Which bashes would you be able to volunteer at? (Select all that apply.) *
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