The Pentecostals of Southeast Kansas

Need a ride to Sunday School?

Complete this form and a member of our Bus Ministry team will contact you to confirm pickup arrangements.

All ages are welcome. Children 3 and under must have an adult accompany them. Children 4 and older may ride without a parent or guardian with appropriate parental/guardian consent.

First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Birthdate

Gender

Full Name and Age of Each Rider

Is a parent/guardian riding with the child(ren)?

Yes

Does any rider have a disability, medical consideration, allergy, mobility need, or other information our transportation team should know to provide safe transportation?

Emergency Contact Name

Emergency Contact Phone Number

Relationship to Child(ren)

Anything else we should know about your pickup location? Example: apartment building, gate, safest place for the bus to stop, etc.

Transportation Authorization

I am the parent or legal guardian of the minor child(ren) listed above, and I authorize The Pentecostals of Southeast Kansas and its authorized drivers and ministry personnel to transport my child(ren) to and from church services and activities using church-provided transportation. I understand that submitting this form does not guarantee transportation until pickup arrangements have been confirmed by The Pentecostals of Southeast Kansas Bus Ministry.

First Name

Last Name

Date Input

Signature

Communication Permission

I authorize The Pentecostals of Southeast Kansas Bus Ministry personnel to contact me by phone or text regarding transportation, pickup times, schedule changes, or matters concerning my child.

I agree

Yes

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Need a ride to Sunday School?

Transportation Authorization

Communication Permission

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