Children's Ministry Drop Off & Pick Up Authorization
Child(ren)'s Name
*
Parent or Guardian's Name
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Authorized Person 1 (Fill out all the columns)
*
Rows
Authorized Person's Name (First & Last Name)
Home Address
Phone Number
E-mail Address
Relationship to Child
1
Authorized Person 2 (Fill out all the columns)
Rows
Authorized Person's Name (First & Last Name)
Home Address
Phone Number
E-mail Address
Relationship to Child
2
I authorize the following persons the responsibilities to drop off and pick up my children from the Children's Programs of Fraser Lands Church.
*
I Agree
Parent/Guardian's Signature
*
Submit
Should be Empty: