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  2. 2014
  3. February
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  5. 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.
 
 
 
Parent's information
* Parent's First Name : 
* Parent's Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* 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?
 
 
 
Child's Current Grade
 
Kindergarten
 
1st
 
2nd
 
3rd
 
4th
 
5th
 
6th
 
7th
 
8th
 
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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.