Say yes ... come worship with us

Permission Form For School Time Bible Classes

Please complete and return by mail

PLEASE PRINT CLEARLY OR TO REGISTER ONLINE. CLICK HERE.

Student Name____________________________________________________________________Gender__________ Grade: 5th

 

School Name________________________________________________________________Birth Date________________________

 

Address_________________________________________________City_________________________________________State SC

 

Zip Code___________________Student's Church (if applicable)_______________________________________________________

 

Name of Parent/Guardian______________________________________________Relationship to Student_____________________

 

Parent email_________________________________________________________________________________________________

 

Cell Phone_____________________________________________Home Phone___________________________________________

 

Health Problems or special needs:_______________________________________________________________________________

 

              Life Threatening Condition? (Y/N)______ If Yes, please explain__________________________________________________

 

              Has Epi-pen at school? ______________Medication at school? _________________________________________________

 

Emergency Contact Information: Name of person to contact__________________________________________________________

 

Relation to Student_________________________________________ Telephone _________________________________________

 

How did you hear about us?____________________________________________________________________________________

 

I, __________________________________________(Parent), request that my child be released from Fairfield Elementary School during ( a time to be 

determined) to attend off-campus Bible classes taught by Greater Than Life Church.  The Bible class is offered without regard for race, religion, sex, national orgin, or handicap.  All students must have parental permission and be escorted off school property and returned after each period by church staff.  The Bible classes are offered during the school day but are not part of the public school.  The school does not endorse or oppose the Bible class but accomodates the wishes of parents to release their children for the Bible class.  By signing below, I hereby give Greater Than Life Church permission to take, use, and/or publish photo and/or videos of my child.  These pictures will be used to promote the School Time Bible Program, to recruit volunteers for future programs or to pose on the church website or Social Meida pages to inform and encourage the prayers of our many faithful supporters.  I understand that my child's name willnot be used in any way with these pictures to safegquard identities. 

 

Parent/Guardian Signature__________________________________________________________Date _____________________________________

 

Return to:

Greater Than Life Church

P.O. Box 1008

Winnsboro, SC  29180

Greater Than Life Church

Website:  Greaterthanlifechurch.com

 Email: Greaterthanlife370@gmail.com

Cell: 803-466-2453, Office: 803-712-0664

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