Child Information

Child 1

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Child 2

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Child 3

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Child 4

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Child 5

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Child 6

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Parent/Guardian Information

Relationship to Child: *
 
My child has permission to participate in the LBC 2019 Vacation Bible School, June 30 through July 3, 2019 (and if church transportation is selected by parent, to be transported by bus, van, or private car). I indemnify and waive any claim against Landmark Baptist Church and Landmark Christian Academy, its employees, and agents for liability or medical payments resulting from my child participating in Vacation Bible School. In the event that my child is involved in any type of injury, accident, or illness, or other situations that may require immediate medical attention, I give permission for my child to be treated by a licensed physician. *
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