Please fill out this form to allow us to teach & care for your children in our Preschool Dept. while you go to our Adult Worship Services.
This consent shall remain in effect until...(write in date or "indefinitely")
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto Rico
ADULTS (18 OR OLDER) AUTHORIZED TO PICK UP MY(OUR) CHILD(REN)
Will be required to to show photo ID at time of pick up.
List for each child
Other Instructions or Comments
My child(ren) has(have) permission to participate in the ministries of Riverview Baptist Church.
My child(ren) has(have) permission to have their photographs in publications of Riverview Baptist Church.