At Mt. Olive we have seen the powerful life changing impact of a community bus ministry. Precious lives have been saved and transformed through this amazing ministry. If your school age child would like to attend Mt. Olive through our bus ministry please contact us.
Please list all children (first and last name) in your household who have permission to ride the church bus.*
Do any of the above children have allergies or medical concerns? If yes, please list their name(s) and their allergies and/or medical concerns*
Parent/Guardian's Name*
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Best Contact Number: Day( ) -
Best contact number: Evening*( ) -
Email*
Emergency Contact Information: Please provide names and numbers in the case of an emergency.*
I have read and understood the guidelines below.
By submitting this form, I hereby give permission to the authorized agents of Mount Olive Baptist Church of Live Oak, Inc. to authorize any medical aid in case of an emergency during an event/activity, riding the church bus, and/or attending Mt. Olive Baptist Church of Live Oak, Inc. I, the undersigned, also verify that all information on this sheet is correct. I realize that any cost associated with medical, surgical, or dental care will be the responsibility of myself and my own personal insurance company. Furthermore, I, the undersigned, will not hold Mount Olive Baptist Church of Live Oak, Inc. or any of its authorized agents liable for any accidents that may occur during any event/activity, riding the church bus, and/or attending Mount Olive Baptist Church of Live Oak, Inc. I also understand that if there is a disciplinary issue involving my child, I will be contacted and, if needed, responsible for picking up my child or arranging their transport back home from whatever function he or she is attending.