2019 VBS RegistrationPlease register one child per form.Please enable JavaScript in your browser to complete this form.Parent InfoParent Name *FirstLastEmail *Phone *Emergency Contact Name *FirstLastEmergency Contact Phone *Students InfoChild's Name *FirstLastGrade *2019-2020 School YearHas your child accepted Christ? *YesNoHas your child been baptized? *YesNoAllergies? *YesNoSpecial InstructionsPhoto/Video Release FormI hereby grant East Calhoun permission to use my child’s likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of East Calhoun and will not be returned. I hereby irrevocably authorize East Calhoun to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my child’s likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo. I hereby hold harmless, release, and forever discharge East Calhoun from all claims, demands, and causes of action, which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this authorization. I HAVE READ AND UNDERSTAND THE ABOVE PHOTO RELEASE. I AFFIRM THAT I AM AT LEAST 18 YEARS OF AGE, OR, IF I AM UNDER 18 YEARS OF AGE, I HAVE OBTAINED THE REQUIRED CONSENT OF MY PARENTS/GUARDIANS AS EVIDENCED BY THEIR SIGNATURES BELOW.Select Agree to confirm that you have read and understand the Release and Agreement *I AgreeCommentSubmit Form