Grace Kids Form Parent Name * First Name Last Name Email * Phone Number * Authorized ADULTS * To maintain order and ensure the safety of our children, we ask that a parent or guardian pick up your children promptly after class. Please list below the adults in addition to parents, that you are authorizing to pick up your kids. Child #1 Name * Child #1 DOB * Child #1 Food allergies or special needs Child #2 Name Child #2 DOB Child #2 Food allergies or special needs Photo & Video Release: We would like your permission to use images and video taken of your child/children during Grace Kids internally in classrooms and hallways and in print or electronic promotional materials. Children will not be identified by name when photos are used for publicity purposes, no compensation will be offered for any images. By indicating yes below, you give permission for electronic or photographic images and video of your child(ren) to be used by Grace Church in its print or electronic media. Yes No Thank you!
