ART CAMP REGISTRATION
Please fill out this form and click submit.
Child's Name:
*
Date of Birth
*
Parent/Guardian:
*
Relation to child:
*
Email
*
This address will receive a confirmation email
Phone
*
Program Notes
A Parent or guardian must remain with the child at the church.
The parent or guardian is responsible for the care of the child at all times.
Photo permission
Photo permission
*
Please select all that apply.
Yes
No
1) I authorize New Horizons Assembly of God in Grand Saline, Texas, to use my minor child's likeness in any photos, videos or other digital media in any and all of its publications, including print and web-based.
2) I authorize New Horizons Assembly of God to copy, edit, enhance, crop or likewise alter any photo(s) for use in its publications. I also waive any rights for approval or inspection of any photos.
3) I agree all photos are the property of New Horizons Assembly of God.
4) I acknowledge I am not entitled to any compensation or royalties with respect to the use of the photos.
Electronic Signature
1) I certify that the above information is correct and complete. 2) I understand it is my responsibility to update this information if there is any change.
Please type your full name below as your signature
*
Submit
Description
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