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2021-2022 Permission Form- Bagley Swamp Students
This is a year long general permission form that provides Bagley Swamp Church with important information regarding your 6-12th grade student as well as your consent to attend general student events.
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* Indicates required question
Student's Name:
*
Your answer
Student's Birthday:
*
Your answer
Student's grade in school:
*
Your answer
Parent Email:
Your answer
Home Address:
Your answer
Student Phone Number:
Your answer
Medical Insurance Company & Policy #
*
Your answer
Parent Name:
*
Your answer
Parent Phone Number
*
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Phone Number:
*
Your answer
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This form was created inside of Bagley Swamp Wesleyan Church.
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