F.R.O.G. 2023-2024
2483 Baltimore Pike, Oxford PA 19363
www.bethanypca.org
admin@bethanypca.org
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Child's Name *
Grade Entering in Fall 2023 *
Child's Age *
Allergies
Parent or Guardian Name *
Parent or Guardian Phone Number *
Parent or Guardian Email Address *
Home Church *
If Other Please Specify
Emergency Contact  *
Emergency Contact Phone Number *
I give my consent to Bethany Presbyterian Church to use photo or video images taken of my child(ren) in church brochures, advertisements for the church, on the website, in social media, and in other church publications as they see fit. I agree to hold harmless Bethany Presbyterian Church from any liability which may result from the use of said picture(s). This form will apply throughout my child(ren)’s tenure at Bethany Presbyterian Church’s Vacation Bible School. **None of the photos to be taken will be for personal use. *
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