Consent Form for Bus Ministry - Pleasant Hill Baptist Church

Address *

Phone Number *

Today's Date *

What is your child's name? *

Birthday

Grade *

Medical Note *

Please list any allergies or important medical information that would help us serve you better.

Please list any specific information that would be helpful here.

I give permission to Pleasant Hill Baptist Church staff and volunteers to transport myself or my child to and from church events. *

Please add your name as a signature confirming your consent. *