Wufoo
Student Impact Transportation Permission 2012
Ridge Church Student Impact Sunday morning activities will be held at a rented facility (1031 Matthews-Mint Hill Road). Students should arrive at 1031 Matthews-Mint Hill Road on Sunday morning at 9:00am. All other Ridge Church Sunday morning activities will be held at the Levine Center (1050 Devore Lane).
Student Name
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Student Cell Phone Number
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Parent/Guardian Name
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Last
Parent/Guardian Cell Phone Number
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My son/daughter has permission to participate in Student Impact on Sunday mornings. I have checked the methods of transportation below that are acceptable to me.
I will pick up my student at 1031 Matthews-Mint Hill Road at 10:30am.
My student has permission to drive himself.
My student has permission to ride with the following students:
My student may ride with a Student Impact Volunteer.
My student has permission to drive the following students:
Student signature:
Parent signature
Date
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Do Not Fill This Out