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Linden Heights
Baptist Church "The Church With Open Arms" |
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I, ___________________________, parent or legal guardian of ___________________________, hereby grants permission for my child to travel with Linden Heights Baptist Church. In Case of emergency, I grant Linden Heights Baptist Church permission to use means necessary to ensure the safety of my child, and I will not hold Linden Heights responsible for any injuries my child may endure. This permission form is valid September 2009-September 2010.
Signed, ___________________________ Date____________
Insurance Company: __________________________ Policy number: ___________________________ Phone Number where parent or legal guardian may be reached: (___) ___________ Name and phone Number of emergency contact other than parent or guardian: ______________________________________________ |
Send mail to
WebAdmin@LindenHeightsBC.com with questions or comments about this web site.
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