2017 Worship in the Park Baptism Form
2017 Worship in the Park Baptism Form
Full name and age. You may enter multiple individuals if in the same family. (ex. John Smith 23, Jane Smith 22)  * 
Phone number (please include area code)  * 
Your Email Address  * 
Mailing Address (include city, state and zip)  * 
Please select the answer that applies.  * 
Guardian Name (for any applicant that is under the age of 18 listed above)
By completing this form you approve of the statements listed below. If you do not approve, please contact Georgeann Wearin at connections@cheyennehills.org, thank you!
I hereby give Cheyenne Hills Church (CHC) permission to take photographs and video of me, either by myself or in a group, for the purpose of publicity, advertising, or publishing.
I hereby give CHC permission to use my name, likeness, voice, and biographical material and exhibit/distribute, in whole or in part, without restrictions/limitations.
I hereby release and discharge CHC from any and all claims arising out of use of the photos/videos.
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