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2014
February
G
Grace Baptist Bus Ministry Rider Form
Grace Baptist Bus Ministry Rider Form
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Questions marked with an
*
are required
Exit Survey
Thank you for allowing your child to attend our church. Please take a moment to give us some information about your child.
START
Parent's information
*
Parent's First Name
:
*
Parent's Last Name
:
*
Address 1
:
Address 2
:
*
City
:
*
State
:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
*
Zip
:
*
Phone
:
Email Address
:
Child's Information:
Child's First Name
:
Child's Last Name
:
Child's Gender
Male
Female
Child's date of birth?
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Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
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Oct
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Dec
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2024
Child's Current Grade
Kindergarten
1st
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I hereby give my consent to Grace Baptist Church, and it’s representatives to care for my child in my absence. I understand that Grace Baptist Church and their sanctioned members are not liable in case of accident. I also give my child permission to ride the bus with Grace Baptist Church and it’s representatives. I understand that all precautions will be taken in order to provide a safe and worthwhile event for my child. In the event that I cannot be reached to make arrangements for emergency medical care at time of illness or accident, I hereby authorize Grace Baptist Church to take my child to the nearest hospital with emergency care. Additionally, to the best of my ability, I will enforce the rules of Grace Baptist Church and it’s representatives. I also understand that Grace Baptist Church will be teaching the truths from the Bible and do hereby give my permission for my child to accept Christ as Savior.
I AGREE
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