Church Permission Slip Form

Church Permission Slip Form

Please complete this form to grant permission for your child to attend the upcoming church event or activity.

Event Details

Name of the Event

    Date and Time

      Location of the Event

        Transportation Provided By

          Child’s Information

          Name

            Age

              Allergies or Medical Conditions

                Medication

                  Parent/Guardian Name

                    Parent/Guardian's Phone number

                      Parent/Guardian's Email

                        Emergency Contact Information

                        Name

                          Phone number

                            Consent and Acknowledgment

                            I, the undersigned, give permission for my child to participate in the above-mentioned church event. I understand that reasonable care will be taken to ensure my child’s safety. In the event of an emergency, I authorize the church to secure necessary medical care for my child.

                            Parent/Guardian

                            Name:

                            Date:

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