Wee (Weekday Early Education) School Registration Form

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Contact and Personal Information

Photo Release

I hereby grant permission to Mt. Harmony Baptist Church's WEE Program to use my child's photograph(s) on its Web site, private Facebook page, or in other official church printed publications without further consideration.

I acknowledge the church has the right to crop or treat the photograph(s) at its discretion.

I also acknowledge that the church may choose not to use my photograph(s) at this time, but may do so at its own discretion at a later date.

I also understand that once my image is posted on the church's website, the image can be downloaded by any computer user, anywhere in the world.

Therefore, I agree to indemnify and hold harmless the church, its trustees, pastor, associate pastors, deacons, its members and designees from any claims arising out of the use of my photograph(s).

The church reserves the right to discontinue use of any photograph(s) without notice.
Medical Information

Does child have any of the following conditions: (If "yes", please explain)
Is the child subject to: (If "yes", please explain)
Does the child have a reaction to: (If "yes", please explain)

Description

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