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Photo Release

I hereby authorize the Valley Community Growth Connection to publish photographs of myself and minor children listed below only to the website designated for 2022 Mother and Son Dance

Son's First/Last Name

Son's First/Last Name

Son's First/Last Name

Son's First/Last Name

Son's First/Last Name

Mother/Escort First/Last Name

Emergency Phone Number

Email

We are a 501(c)3 corporation.

Our Mission Statement,

"Providing Expanding Opportunities For The Communities We Serve!"

vcgc2016@outlook.com

valley community growth connection

© 2019 Valley Community Growth Connection Orwell, Ohio

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