parentsnightout.png
 
1. How many children would participate? Please list all names
Child 1
Child 1
Child 2
Child 2
Child 3
Child 3
Child 4
Child 4
2. Does your child/children have any food allergies?
Permission to use Pictures or Videos
St. Mark Baptist Church permission to upload my son or daughter's picture or video on the church's website and/or Facebook page or for special projects the children may be working on. I understand that these pictures and videos will be done in a reasonable and tasteful manner, and are not used for any other purpose except for the above stated purpose.
Date
Date