Child's name *
Child's name
Allergies *
If yes, please explain below
Parent/Guardian Name *
Parent/Guardian Name
Photo Consent *
In accordance with our Plan to Protect policy, Fellowship Baptist Church requires parental consent for the release of your child’s photograph, video clips or comments in activities that she/he may participate in through church programs. In Fellowship Kids, Christmas or other pageant are examples of where this publication may occur. I give my consent for the publication of my child’s photograph, video clips of comments for purposes consistent with the above.