Brisbin Baptist Church

Van Permision Form

Thank you, Registration Submited

Your registartion for for the Brisbin Baptist Church Van Mininstry has been submitted you will recieve an email back from the church once reviewed.

Parent or Legal Guardian’s Name

Child’s Name

Booster Seat Required?

Address

Parent or Guardian’s Phone Number

Emergency Contact

Emergency Contact Phone Number

Other Important Info

I hereby give permission for the above-named child to ride on the Brisbin Baptist Van to both pick up other children and to be transported to and from Brisbin Baptist Church for the purposed of Sunday Morning Worship Service.

By typing my full name below, I confirm that I have read and understand this permission form and consent to the terms outlined above. I understand that my electronic signature is legally binding to the extent permitted by law

Electronic Signature (Type Full Name)

Date (YYYY-MM-DD)