JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fabulous Bible Investigator (FBI) Club
Permission Slip
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Girl's name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Teacher and School Grade
*
Your answer
Name of Parent/Guardian
*
Your answer
Address
*
Your answer
Phone number (can have more than one)
*
Your answer
Email (write "NONE" if you have no email)
*
Your answer
If unable to reach parent/guardian listed above, whom should we call?
Alternate Contact Name and Phone Number
*
Your answer
How will your child get home after FBI club? Children will be dismissed at 5 p.m.
*
Walk home
Be picked up at Bethany Baptist Church (Children should be promptly picked up at 5 pm)
Is either parent in the military?
*
Yes
No
List any medical needs including allergies we need to be aware of. (write "NONE" if no medical needs or allergies}
*
Your answer
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.
*
Your answer
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?
*
Yes, you may use my child's photos for the above purpose
No, do not use my child's photos for the above purpose
Church affiliation (if applicable)
Your answer
I give permission for my child to attend FBI Club at Bethany Baptist Church. Sign your name below.
*
Your answer
Date
*
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
