Church Bus Permission Slip Revised 2023

* Driver must have this signed form before child can ride STAM bus or in adult vehicle.

This form is to be completely filled out and signed by parent or legal guardian before a child may ride the bus/adult vehicle. Permission will remain active until revoked by parent or legal guardian in writing. (Please Print) Parent or guardian name

Parent or Guardian Name

First NameLast Name

Address

State

Home Phone

Cell Phone -

E mail address

example@example.com

Would you like your child to be picked up on Thursday's?

Please list all children of your household who have your permission to attend and/or ride STAM bus for any Sound the Alarm Ministries (STAM) Children's Ministries services or events including but not limited to Konnecting Kids to Christ (KK2C), Kingdom Konnection (Sunday Morning children's service VBS. Vessels, TAG, Dance, or Choir. The participant may ride on the church bus, or with ADULT members of the church to and from the event or activity. (Please fill in completely)

Child’s First & Last Name, Relationship to You, Age, D.O.B (date of Birth)

Where does your family attend church?

Do any of the above have allergic reactions to any medications or food allergies? Yes No If so, please list their names and the medications/allergies to which they are allergic:

If so, please list their names and the medications/allergies to which they are allergic:

I hereby give my permission for all the children listed above to ride the bus/adult vehicles, participate in activities, and attend services and activities of Sound The Alarm Ministries. / understand that my children will be under adult supervision. / further understand that in signing this permission slip, / release and hold harmless Sound the Alarm Ministries Church and all auxiliaries represented by Sound the Alarm Ministries Church. By signing this permission slip, / release and hold harmless its trustees, officers, employees, interns, and any volunteers from any liability, past or future, fully and completely. / authorize the staff or designated medical professionals and/or volunteers to administer emergency medical assistance if / cannot be reached. / also give permission for my child's picture/video to be taken and used for promotional reasons.

First NameLast Name

Date