By clicking yes to this form, I give City Church Chattanooga the permission to photograph/video my child and use his or her picture solely for the church’s website, Facebook and/or Instagram page and recap video. City Church will never publish a child’s name with any of its publications.

Child's Name *
Child's Name
Parent/Guardian consent *
I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this form.
Parent/Guardian Signature *
Parent/Guardian Signature
Today's Date *
Today's Date