NorthStar Christian Center

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PERMISSION SLIP

 

NorthStar Christian Center has partnered with the Richland 2 school district to provide activities for your child/children this summer at the Summer Feeding Program.

 

With the Summer Feeding Program coming to a close for the year, we would like to offer bus rides for children, teens and adults to NorthStar Christian Center in North East Columbia for Sunday morning service (address and contact information below).

 

Children between the ages of 6-17 may ride unaccompanied, as long as a parent has signed the permission portion below. If parents accompany their child/children, no permission slip is necessary, and children of all ages may come along. 

 

Our bus will arrive in front of the Hunters Way office between 9:00AM and 9:15AM on Sundays, departing no later than 9:20AM. The bus will return passengers to the Hunters Way office area between 11:45AM and 12:00PM each week. NorthStar will be responsible for your child/children from the moment they enter our bus until the moment they depart at the Hunters Way office.

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Parent's Name:*
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Emergency Contact Name:*
Emergency Contact Phone Number*
Child 1 Name*
Child 1 Age*
Child 2 Name:
Child 2 Age
Child 3 Age
Child 3 Age
Child 4 Name
Child 4 Age
Child 5 Name
Child 5 Age