Scholastic Motivational Ministry

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Local Church*
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Pastor's Name*
Local SMM Director or Youth Director
District*
District SMM Director or Youth Director
Parent/Guardian Agreement
One or two of the sessions presented will be recorded via zoom.us . I understand and agree that the image of my child may be used for future rebroadcast of the recorded content via internet platforms used by the Jurisdiction.*
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- No, I do not Agree
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Parent/Guardian Signature*

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