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Digital Parent Permission Form to authorize faith-based partners/pastor(s) to visit with your child.
McCulloch Intermediate School Parents,
Please use this form to authorize a specific Faith-Based Partner/Pastor(s) to visit with your child during the MIS campus lunch time on Wednesdays.
Please complete one form per child.
The completion of this digital authorization is required to allow a Faith-Based Partner/Pastor(s) to have access to your MIS child during the Wednesday lunch period.
If you choose to revoke access, please contact the front office at your child's school.
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* Indicates required question
Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
My Child's Birthday
*
MM
/
DD
/
YYYY
Student's Current Grade Level
*
Choose
5th
6th
Last name of parent granting this permission
*
Your answer
First name of parent granting this permission
*
Your answer
Cell phone number of parent granting this permission
*
Your answer
Name(s) of the specific Faith-Based Partner/Pastor(s) that I authorize to visit with my child during the MIS lunch period on Wednesday:
*
Your answer
A copy of your responses will be emailed to the address you provided.
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