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Annual Permission Slip
BEFORE you download the Annual Permission Slip, please click here to read the informational web page titled "Permission Slips and Release Forms."
Parents are responsible for ensuring that NorthCreek Church has the most current information regarding their son or daughter.
A new Annual Permission Slip is required if, at any time, there are any changes to the following:
Health Insurance Carrier
Policy Number
Date of Last Tetanus Injection
Current Medications
Special Medical Instructions
Emergency Contacts
This document will be kept on file and used in the event of a problem or emergency for your son or daughter while they attend and participate in our events/activities.
Click here to download the Annual Permission Slip.
Send to:
NorthCreek Church
Student Ministries
2303B Ygnacio Valley Road
Walnut Creek, CA 94598
Or fax to:
925.934.1043
Questions? Call Marlis Moser at 210.9036.
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