January 27-28, 2018 Baptism Form
January 27-28, 2018 Baptism Form
First and last name  * 
Date of Birth  * 
Gender  * 
Your Email Address  * 
Select which weekend service you would like to be baptized during.  * 
Phone number (please include area code)  * 
Mailing Address (include city, state and zip)  * 
By completing this form you approve of the statements listed below. If you do not approve, please contact Holly Stevenson at hstevenson@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.
Guardian Name (for any applicant that is under the age of 18 listed above)
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