KIDS & YOUTH REGISTRATION FORM

Parent Information

Relationship to Child(ren) *
 
Additional Parent/Guardian: Relationship to Child(ren)
 
State *
 
I, the parent or official guardian of the child(ren) listed below, grant permission to Victory Church and its representatives, the irrevocable and unrestricted right to reproduce the photographs and/or video images taken of my child for the purpose of publication, promotion, illustration, advertising, or trade, in any manner or in any medium, including internet-based. I hereby release Victory Church and its legal representatives for all claims and liability relating to said images or video. Furthermore, I grant permission to use my child’s statements that were given during an interview, with or without his/her name, for the purpose of advertising and publicity without restriction. I waive my child’s right to any compensation. All prints, videos, and digital reproductions shall be the property of Victory Church. *
If you answered Yes to the question above, please sign below.
clear

Child #1

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Gender *
Current Age or Grade (2024-2025 School Year)? *

Child #2

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Gender (Child #2)
Child #2- Current Age or Grade (2024-2025 School Year)?

Child #3

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Gender (Child #3)
Child #3- Current Age or Grade (2024-2025 School Year)?
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