All Saints Nursery and Elementary Church School Permission Form
This is a permission for children ages 0 thru 5th Grade.
Adres e-mail *
Your email: *
Your Child's Name: *
Child's Birthday *
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Age & Grade in School *
Parent's Full Name(s): *
Parents Cell Number: *
Primary Email & Whose: *
May we send All Saints Church School information to this email? *
Secondary email and whose:
May we send All Saints Church School information to this email?
Odznacz
Custodial Arrangements (if any):
Street Address: *
I give permission for my child to be photographed participating in All Saints events with the understanding that the photos will not be posted with my child's name beyond the parish without additional permission *
In the event of an emergency, if I cannot be contacted, I hereby authorize emergency treatment to be administered. *
Second Emergency Contact: *
All known allergies or medical conditions of which we should be aware? (please explain) *
Any known learning differences of which we should be aware? (please explain) *
Is there anything you would like us to know about your child(ren) and family? *
Would you like to be contacted by our staff?
Odznacz
Signature of parent/guardian *
Date of signature *
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Wyczyść formularz
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