Living Evidence KidZ Registration Form

Your name *

Last name

Email address *

Address *

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number *

Phone type

MobileHomeWorkOther

Phone number

Phone type

MobileHomeWorkOther

Household members

+ Add adult+ Add child

Other authorized adults to pick up your child

Photo/Video Authorization *

 

I give Living Evidence Church permission to use photographs/videos of my child for internal purposes and for publicity purposes on the church website, in brochures, on social media, or through other means of publicity. I understand that my child will not be identified by name when photos/videos are used for publicity purposes. I also understand that all photos/videos will be available for review if I should request to do so.

Yes

No

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