2nd Grade Bible Night Registration

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Bible Night: Aug. 29th, 2023, 6:00-7:30 PM
Event Address: St. John Lutheran Fellowship Hall
Contact us at (402) 643-2983

Email *

Parent/Guardian First and Last Name *

Preferred Email *

2nd Grade Child's First and Last Name *

Bible Night Participation *

Yes, we will be there!

Regrets, we cannot be present.

Required

If yes, will you desire child care? For how many children?

1 child

2 children

3 children

Other:

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If you are participating, how many will eat pizza? *

Best phone number *

Photo Release

Every image/video that includes an identifiable face of a minor must be vetted before publishing the image or video, regardless of how large the group. This is done by verifying that a consent form is on file which allows the publication.

If you would like to review our full policy, click here.

On behalf of the minor named above, I hereby state as follows with regard to images/video controlled by The Ministry of St. John Lutheran that includes an identifiable face of the Participant:

I authorize The Ministry of St. John Lutheran to use and store the participant's image/video in printed publications, electronic publications, and social media outlets for the event selected below. No names will be printed.

I do NOT authorize any use of the participant's image/video.

A copy of your responses will be emailed to the address you provided.

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