Atonement Lutheran Church

Vacation Bible School Registration 2018

Please complete one form per child.page 1 of 1

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Address
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Phone Number
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Email Address

Medical Information


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Media Release

I do hereby consent and agree that Atonement Lutheran Church, its employees or agents have the right to take photographs, videos or digital recordings of me (my child) and to use these in any and all media, now or hereafter. I further consent that my name and identity may be revealed therein or by descriptive text or commentary. I hereby release to Atonement Lutheran church, its employees or agents, all rights to exhibit this work in print and electronic form publicly or privately and to market and sell copies. I waive any rights, claims or interests I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other remuneration for recording me, either for initial or subsequent transmissions or playback.

Registration Fee

Registration is $15/child or $30/family. Please submit payment to: Atonement Lutheran Church-1290 Sierra Granda Blvd-Billings, MT 59105
* required