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First Waughtown Baptist Church, Inc.
Minor Image Permission & Use Form
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Please sign below to give FWBC permission to publish minor's name in any media form listed above. FWBC will not publish a child's name in any of its publications without explicit permission from minor's parent or guardian.

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NOTE: By signing this agreement on behalf of a minor child, I affirm that I am the legal parent or guardian of the child and that I have the legal authority to sign this agreement on behalf of the child.

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838 Moravia St. | Winston-Salem, NC 27107 | 336.784.7386
© 2022 First Waughtown Baptist Church, Inc. 

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