Child's name *

First Name

Last Name

Phone *

Best number to reach you during the event

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Trinity and First United Methodist Church have my permission photograph my child while participating in Shipwrecked. I understand that the images may be used in print publications, online publications, presentations, websites, and social media to promote the church or future events. *

Yes

No