RSVP 4 — Fervent Care Child Care

Permission Form

While your child is enrolled in this program, he/she will be involved in a number of activities for which we need your permission. Please read the following information carefully. You are encouraged to ask questions about anything that is unclear to you. You, of course, have the option of withdrawing permission at any time.

Child's Name

First Name

Last Name

Give my permission for my child to go on walks with the classroom Teacher and class on the school property.

Give my permission for my child to be transported by bus or car to scheduled field trips.

Give my permission for my child to be screened for hearing, speech, and language.

Give my permission for my child to be screened for specific educational needs.

Give my permission for my child to be photographed or video taped off use in educational, no-profit publication/presentations intended to further the cause of Christian education. This permission is applicable for current, as well as, future project use. From time to time photographs and videotaping of our school program will be made for educational, and publicity purposes. These pictures will be representative of the enriching experiences offered to your child during the year.

As part of the program, your child's records may be included in research that evaluates the value of the program. In all cases, the confidentiality of individual children's records shall be maintained.

Parent's Signature

First Name

Last Name

Date

YYYY