Mornings with Mommy

July 9, 2019
Theme: Flags, Parades, and the USA
10:00 A.M. - 11:00 A.M.
Calvary Lutheran Church

Parent's Information

First Name
Last Name
Email
Address
City
State
Zip

Childrens' Information

Number of Children Attending
Name of 1st Child
Age of 1st Child
Name of 2nd Child
Age of 2nd Child
Name of 3rd Child
Age of 3rd Child
Name of 4th Child
Age of 4th Child
Allergies, or other medical concerns
Do You Have a Home Church?
I hereby give my consent as the parent/guardian of the above named child/children to attend/participate in the Mornings with Mommy program at Calvary Lutheran Church, 1270 North Dobson Road, Chandler, Arizona 85224. My child and I hereby release, indemnify, and hold harmless the church, its employees and/or volunteers from any and all liability from any claim, injury, or loss sustained by or during my child’s participation during Mornings with Mommy. I hereby authorize Calvary Lutheran Church to take and use photography and/or video of my child for crafts, keepsakes, or promotional purposes in any type of media and understand I will not be compensated for any such use. Please type your name in the box below agreeing with this consent form.

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