Children’s Choir Permission Form (2026-2027 School Year)

This form is to be completely filled out and signed by a parent or legal guardian before a child may ride the bus.

Name of Child #1 *

First

Last

If more than 1 child please list them in the boxes below.

Parent's Email Address *

Relationship to you

Grade

Child's Birthday

Name of Child # 2

First

Last

Relationship to you

Grade

Child's Birthday

Name of Child # 3

First

Last

Relationship to you

Grade

Child's Birthday

Parent or Legal Guardian (First & Last Name)

Address

Address Line 1

Address Line 2

City

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Zip Code

Home Phone

Cell Phone

Do you attend church

• Yes
• No

If so, where?

Emergency Contact Name

Emergency Contact Phone Number

Please list any allergies (food, medication, etc.)

I give First Baptist Church of Louisville, GA permission to photograph my child/children and use his or her picture solely for the church’s website or Facebook page. We will never publish a child’s name with any of its publications.

• Yes
• No

I hereby give permission for all children listed above to ride on the church bus or in the personal vehicle of an approved Children's Choir leader and to participate in the After School Children's Choir Program at First Baptist Church of Louisville, Georgia. I understand that my child(ren) will be under adult supervision throughout the program and during authorized transportation. In consideration of my child(ren)'s participation, I voluntarily release and hold harmless First Baptist Church of Louisville, Georgia, its employees, members, Children's Choir leaders, volunteers, and representatives from any and all claims or liability arising out of or related to my child(ren)'s participation in the program or transportation to and from the program, except as prohibited by applicable law. In the event of an emergency, I authorize qualified medical personnel to provide emergency medical treatment for my child(ren) if I cannot be reached in a timely manner. I understand that every reasonable effort will be made to contact me before medical treatment is administered whenever circumstances permit.

Signature of Parent or Legal Guardian (type your name in the above box)

Date

Submit