3rd and 4th Grade Bible Sunday
Please fill out this form and click submit to register your child to receive their 3rd or 4th Grade Bible.
Family Information
Parent/Guardian Name
*
2nd Parent/Guardian Name
Email 1
*
This address will receive a confirmation email
Email 2
This address will receive a confirmation email
Phone 1
*
Phone 2
Child Information
Child's Name to be printed in their Bible. Example: Jane Elizabeth Smith or Jane Smith
*
Grade
*
Please select one option.
3rd
4th
Select Option
3rd
4th
We will attend
*
Please select all that apply.
9:00 Worship
10:30 Worship
Unable to attend, please contact
Media Release
I do hereby grant or deny permission to use the image of my child as marked by my selection(s) below. Such use includes the display, distribution, publication, transmission, or otherwise use of photographs, images, and/or video taken of my child(ren) for use in materials that include, but may not be limited to, printed materials such as brochures and newsletters, videos, and digital images such as those on the Web site.
*
Please select one option.
Deny permission to use my child's image at all
Limited usage: I want my child’s image used within the setting only (not in the larger community).
Limited usage: I want my child’s image used on printed materials only (no digital or video use).
Unrestricted usage: I give unrestricted permission for my child’s image to be used in print, video, and digital media. I agree that these images may be used by for a variety of purposes and that these images may be used without further notifying me.
Submit
Description
Please fill out this form and click submit to register your child to receive their 3rd or 4th Grade Bible.
×
Please Fix the Following
