Legacy Church GA
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Canton
Marietta
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GIVE
Tax Giving Statements
Watch
Canton
Marietta
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YOUR CART
*
Indicates required field
Visitor Check In- Registration
Campus attending
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Legacy Marietta
Legacy Canton
Child Name
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First
Last
Parent/Guardian Name
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First
Last
Parent/Guardian Address
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Line 1
Line 2
City
State
Zip Code
Country
Parent/Guardian Phone
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Parent/Guardian Email
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Emergency Contact Name
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First
Last
Youth/Child Gender
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Male
Female
Youth/Child Date Of Birth
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Youth/Child Last Grade Completed
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High School Graduation Year
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Additional Concerns (allergies, medications, medical conditions, etc)
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Emergency Contact Phone
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By submitting this form you are agreeing to the following
(you may be asked to also sign a hard-copy):
I the parent/guardian, do hereby grant permission for my son/daughter, named above, to attend this event sponsored by Town Center Community Church / Legacy Church (TCCC/LC). Event Transport (if applicable): I give permission for my child to be transported to and from activities at TCCC/LC and other off-site functions in the church bus or other authorized vehicles driven by qualified, approved, and insured drivers. Medical care: In order that my child may receive the proper medical treatment in the event that he/she may sustain injury or illness, I hereby authorize the staff and authorized volunteers to provide basic medical care to my child (band aids, OTC medications as directed by parent/guardian) or to allow them to transport and obtain care from a medical facility. And I hereby agree to hold harmless the staff of, TCCC/LC, GA Fellowship of the Church of God, Volunteers, sponsors, and the event facilities in the exercise of this authority. I further understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daughter for physical illness or injury. Photo Release: I understand that photos of the event, activities, and of my child may be taken, and I assign copyright to TCCC/LC and agree that such photographs may be used for any lawful purposes including publicity, illustration, advertising, and social media content.
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