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Event Timing: August 9th, 2019 (5:30-8 P.M.) & August 16, 2019 (5:30-8 P.M.)
Event Address: 402 W. Trade St., Dallas, NC 28034
Contact us at (704) 922-3201 or
secretary.dbc402@gmail.com
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Name(s) of Child/Attendee
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Last Grade Completed
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Parent/Guardian Name(s)
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Emergency Contact Person & Relationship to Child/Attendee
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Emergency Contact Phone Number
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Which days will you attend?
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August 9th
August 16h
August 9th & 16th
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I understand that photographs and videos may be taken of my child; I grant permission to Dallas Baptist Church (& its members and staff) to take & use photos and videos in Dallas Baptist Church's publications and/or social media. I waive my right to inspect or approve any editorial text or copy that is used in connection with the images and release and discharge Dallas Baptist Church from any and all claims arising out of use of images for the purpose described above, including any claims for libel, invasion of privacy, or other tortuous act.
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