Jr/Sr Banquet Permission Slip | Agape Christian Academy

Junior/Senior Bus Permission Slip

Complete this form to give your student permission to ride the bus to and from TopGolf for the Agape Christian Academy Junior/Senior Banquet. This single form covers both the trip there and the return trip.

This field is for validation purposes and should be left unchanged.

Agape Christian Academy Junior/Senior Banquet

Destination: TopGolf

Event Date: May 2nd

Student Information

Student Name(Required)

First Last

Grade(Required)

Parent or Guardian Information

This must be completed by the parent or guardian giving permission for the student to ride the bus.

Parent or Guardian Name(Required)

First Last

Cell Phone(Required)

We will use this number to reach you during the event if needed.

Email(Required)

Emergency Contact

Provide an additional contact in case the parent or guardian above cannot be reached during the event.

Emergency Contact Name

Relationship to Student

Emergency Contact Phone

Medical and Dietary Information

Allergies, Medical Conditions, or Medications(Required)

List anything chaperones should be aware of during the trip. Write 'None' if not applicable.

Expectations and Permission

The Junior/Senior Banquet is a school-sponsored event, and bus transportation is part of that event. Please read the following carefully before signing.

Students are expected to ride the bus to and from TopGolf unless prior alternate arrangements have been approved in writing by Agape administration.
Standard Agape Christian Academy behavior expectations apply during transit and at the event.
Students must follow the direction of staff and chaperones at all times.
Alcohol, tobacco, vaping, and illegal substances are strictly prohibited. Any violation will result in immediate parent contact and removal from the event.
Parents or guardians are expected to be reachable by phone for the duration of the event in case of emergency.

Permission and Acknowledgment(Required)

I give my student permission to travel by chartered bus to and from TopGolf for the Agape Junior/Senior Banquet. I have read and agree to the expectations above, and I release Agape Christian Academy and its staff from liability for incidents outside the school's reasonable control.

Junior/Senior Banquet

Junior/Senior Bus Permission Slip

Student Information

Parent or Guardian Information

Emergency Contact

Medical and Dietary Information

Expectations and Permission

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