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Online Registration Agreement

PLEASE READ THIS AGREEMENT CAREFULLY AS USE OF THE SERVICE CONSTITUTES ACCEPTANCE OF THESE TERMS AND CONDITIONS. IF YOU DO NOT AGREE, DO NOT REGISTER.

Online registration for this event may only be completed by an adult eighteen years old or older. The registration of a child under thirteen years old must be completed by that child's parent or legal guardian.

Acknowledge Online Registration Agreement
Participant's Name
Parent/Guardian Name
Address
Birthday
Gender
Leave Blank if None
Emergency Contact Name
Authorized Pickup Name #1
Authorized Pickup Name #2
Are you a member of Shiloh church?
Do you attend a different church?
May we have permission to photograph / video record your child?