Fabulous Bible Investigator (FBI) Club 
Permission Slip 
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Child's name  *
Child's Date of Birth  *
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Teacher and School Grade  *
Name of Parent/Guardian  *
Address  *
Phone number  (can have more than one) *
Email (write "NONE" if you have no email) *
If unable to reach parent/guardian listed above, whom should we call? 
Alternate Contact Name and Phone Number 
*
How will your child get home after FBI club? Children will be dismissed at 5 p.m. *
Is either parent in the military? *
List  any medical needs including allergies we need to be aware of.  (write "NONE" if no medical needs or allergies} *
In case of emergency: If unable to reach you at the phone numbers listed above, who should we contact?  Give name, phone number, and relationship to child. *
Photos taken during FBI may be used to promote future children activities at Bethany Baptist Church.  NO NAMES WILL BE USED WITH THE PHOTOS. Do you give us permission to use your child/children's photos for that purpose? 

*
Church affiliation (if applicable)
I give permission for my child to attend FBI Club at Bethany Baptist Church.  Sign your name below.  *
Date *
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