Parent/ Guardian Name

Student's Name

Last School Grade Completed

Any Allergies?

Email Address

Phone Number

Mailing Address

Emergency Contact

Would you like to volunteer? Would you like to volunteer? Yes No

Photo Release Photo Release New Vision Church has my permission to use my child’s photograph publicly. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.