VBS Epiphany Consent Form
Parent Name
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First Name
Last Name
List of Kids Names With Whom This Applies
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Epiphany Lutheran Church can use photo, voice, and or video tapes of any of my children for Epiphany Public Relations purposes.
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Please Select
I Agree
No, Thank You!
In case of emergency, I authorize any member of Epiphany Lutheran Church to permit all necessary treatment for any of my children. I also release Epiphany Lutheran Church, its pastors, directors, supervising adults, and any individual in this program, from any responsibility for accidents or injuries incurred while participating in Vacation Bible School.
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Submit
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