RA and GA Permission Slip

"*" indicates required fields

I am completing a permission form for:*

Child's Information

Child's Name*

First Last

Date Of Birth*

Grade*

Allergies:

Parent Information

Parent Name*

First Last

Email*

Best Contact Number*

Consent*

I grant permission to FBC Brookhaven for my child to participate in the off campus events for Girls in Action and Royal Ambassadors. I understand that travel may be involved, and I hereby give permission for my child to travel with the adult leader or leaders of this activity, including transportation by car, bus, or other means (walking). I understand that it is incumbent upon my child to follow all rules as set forth by the church concerning this event. Further, I acknowledge that any misconduct or misbehavior on the part of my child may result in immediate dismissal from the event, at the sole discretion of the church staff.

Signature*