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Emergency Contact Information if parent/guardian listed above cannot be reached
Health Information / Allergies
As a parent / legal guardian of the above named student, I consent to the use of any audio, videos, or photographs of my child that may be taken during Pioneer Club meetings and event(s) during the year for promotion of Pioneer Club at East Side Baptist Church. Photos may be used for our Pioneer Club FB page (which is a closed, by invitation only page), bulletin boards, crafts, slide shows, presentations, etc.
As a parent / legal guardian of the above named student, I give my permission for my student to be transported on the church van to & from East Side Baptist Church for Pioneer Club Activities (3rd grade and up only).