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Online Permission Slip for Confirmand trip to Temple B'rith Sholom
Temple B'rith Sholom (1004-1008 South Fourth Street)
February 8, 5:30 p.m. - 8 p.m.
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Indicates required field
Guardian / Parent Name
*
First
Last
Emergency Contact Phone Number
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Relationship to Minor
*
Email
*
Name of child participating
*
First
Last
[object Object]
desire for child to participate in the following activity/trip associated with Westminster Presbyterian Church
*
Son
Daughter
Minor under my supervision and control
Name of child participating
*
First
Last
[object Object]
desire for child to participate in the following activity/trip associated with Westminster Presbyterian Church
*
Daughter
Son
Minor under my supervision and control
Name of child participating
*
First
Last
[object Object]
desire for child to participate in the following activity/trip associated with Westminster Presbyterian Church
*
Son
Daughter
Minor under my supervision and control
Does your child(ren) need a ride from Westminster?
*
Yes, I will drop my child(ren) at WPC by 5 p.m.
No
Digital signature of Legal Guardian (please print your name)
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