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  • Please add each child or youth in your family.
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  • Parent 1

  • Parent 2

  • I, as parent or legal guardian of the child(ren) named above, give my permission for photographs and videos of my child(ren) to be used on the Saint Barnabas website at www.saintbarnabas.org, Saint Barnabas Facebook and/or Instagram page, newsletter, and other printed/digital publications for no purpose except that of promoting the life and community of Saint Barnabas Episcopal Church.
  • I certify that by typing my name below in the Electronic Signature Field and submitting this form, I intend to sign this document and be bound to the same extent as if I had provided a physical signature.