COMPLETE THE FORM TO SCHEDULE PICK UP:

By submitting this form, you agree to the following:

I hereby give my permission for all the children listed above to ride the van, participate in activities, and attend Pleasant Grove Baptist Church or any of the church related functions. I understand that my children will be under adult supervision. I further understand that in signing this permission slip, I release and hold harmless Pleasant Grove Baptist Church and all other church-related functions. By signing this permission slip, I release and hold harmless its trustees, officers, employees, and any volunteers from any liability, past or future, fully and completely. I authorize the staff or designated medical professionals and/or volunteers to administer emergency medical assistance if I cannot be reached. I understand that my child(ren)’s photo may be taken and used in printed publications, website or social media by Pleasant Grove Baptist Church, and that I may contact the church office in writing to revoke this permission.

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