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Parent/Guardian Name *

First Name

Last Name

Address *

Address 1

Address 2

City

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Phone *

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Permission *

By checking this box, I give permission for my children listed above to attend and participate in any Christian Heritage VBS ministry activity.

Liability Release *

Liability Release

By checking this box, I do herby release, and agree to hold harmless Christian Heritage Church and collectively herein the “Church workers and volunteers” from any and all liability