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BUS PERMISSION SLIP
HARVEST LIFE BUS MINISTRY
(2yrs and under must be accompanied by a legal guardian)
Parent or Legal Guardian's First Name
Last Name
Relationship
Father
Mother
Legal Guardian
1st. Child's Name
Date of Birth / Grade
2nd. Child's Name
Date of Birth / Grade
3rd. Child's Name
Date of Birth / Grade
4th. Child's Name
Date of Birth / Grade
Address 1
Address 2
City
State
Country
Zip/Postal Code
Cell
Work
Does your child have any medical issues we should be aware of?
I give permission for the above child(ren) to ride Harvest Life International Church's bus and to attend all services/events.
I Agree
Accept