Children’s Ministry Offsite Permission Form

I give my child permission to attend the Route 456 Fall Event & Corn Maze. Transportation for this activity will be provided by an HSLC vehicle or other HSLC authorized adult driven vehicle. *
Child's Name *
Child's Name
Parent Name
Parent Name
Parent Phone Number
Parent Phone Number
Emergency Contact
Emergency Contact
Emergency Contact Phone Number
Emergency Contact Phone Number
By submitting this form, I agree to the following