2021 ENCIRCLE Elementary After School Program Registration

Family Information

Child's Information

Photo Release

I give permission to Dillsburg Brethren in Christ (DBIC) Church to use my child's picture in printed and electronic publications of the DBIC Church, its website and social media and any DBIC children's ministry-related materials.

Filling in your name here constitutes an electronic signature authorizing the church to rely on the information submitted.