Permission Slip/Waiver Form
Email address *
Name *
Your answer
I give permission for my Child to attend and be involved in all activities held both at the church and off church premises? *
I give permission to use my child's photo on the church's website and social media *
Emergency Contact *
Your answer
I authorize a representative from the church to get my child medical treatment in the case of an emergency? *
In the case of an injury, I will not hold the church or its representatives personally liable? *
Parent/Guardian Name *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
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