Chosen Treasures Summer Vacation Bible School - RCCG Throne of Grace Phoenix, AZ

IN CASE OF EMERGENCY, PLEASE CONTACT

Prefix

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

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Emergency Contact First Name *

Emergency Contact Last Name *

Emergency Contact Phone Number *

Rules and Regulations

By checking off each box, I (parent/guardian name below) have read and acknowledge the statements below.

Parent/Guardian Name (for rules acknowledgment) *

I acknowledge the following rules: *My child will be respectful towards teachers, volunteers, guest speakers, and each other

My child will handle all supplies and equipment in a respectful manner

My child will not engage in any form of rough housing or destructive behavior

My child will remain only in areas that they have been given permission to enter

If my child fails to adhere to any of the rules stated above, per the lead teacher's discretion, I or the emergency contact stated below can be called to pick up my child immediately

I will pick up my child/children on time or they will lose their privilege to attend for the rest of the week

Parent/Guardian Consent Form

I give my child permission to participate as indicated below.

Parent/Guardian Name (for consent) *

Child Name *

Permission to participate *Participate in all activities stated in the schedule

Ride in a teacher's car for off campus activities

Parent/Guardian Signature *Type your full name as signature

RCCG Throne of Grace Parish | 2150 E Cactus Rd., Phoenix, AZ, 85022

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