Reignite Parent Permission Form

Student Name*

First NameLast Name

Home/Drop Off Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

If your student's drop off address is not located within or near Upper Sandusky city limits, you, as the parent or legal guardian, will be required to organize transportation home, from Reignite, for your student.

Parent/Guardian Name*

First NameLast Name

Primary Parent/Guardian Phone Number*

Please enter a valid phone number.

How do you prefer to be contacted?*

CallText

A representative from WCC/The HUB will contact you weekly, on Wednesdays, to confirm your student listed above has your permission to ride in a Trinity Evangelical vehicle, to Reignite, that week. Unless the WCC/The HUB representative is able to contact you, to confirm permission, your student will not be permitted to ride the Trinity vehicle that week.

I, the parent or legal guardian of the student listed above give permission for student name to be transported from WCC/The HUB by an approved representative of Trinity Evangelical, in a church vehicle, for Wednesday evening activities at the church during the 2024-2025 school year. I release Trinity Evangelical and Wyandot Community Connections, Inc (WCC) with all representatives, from any and all claims resulting from injury or damage that may be sustained by my child while participating in travel to and from Reignite Student Ministry and The HUB/HUB Kids (a program of Wyandot Community Connections).

Parent/Legal Guardian Signature*