Bus Ministry

If you would like a ride, please call 774-239-7301 by 8 PM Saturday night each week to arrange for your ride.

Shawn – Your Bus Ministry Captain

Children not being accompanied by an adult must have a registration/permission slip on file. A registration form can be filled out here and submitted electronically.

Bus Ministry Permission Slip

Permission slip for Bus Ministry rides to church for children.

Student's Name*
First Last
Please enter the child's first and last names in the spaces provided.
Gender*
Select the gender of your child from the drop down list.
Grade*
Select the grade your child will be entering in Fall 2015 from the drop down list.
Age*
Select your child's age as of July 10th, 2015 from the drop down list.
Parent's / Guardian's Email
Enter Email Confirm Email

Please enter the email address of the student's parent or guardian in the space provided.
Student's Email
Enter Email Confirm Email

Please enter the student's email address in the space provided.
Address Where The Student Lives*
Street Address Address Line 2 City State ZIP Code

Please enter the address where the student lives in the spaces provided
Mom's or Female Guardian's Name
First Last
Please enter the first and last name of the student's Mom or Female Guardian in the spaces provided.
Dad's or Male Guardian's Name
First Last
Please enter the student's Dad's or Male Guardian's first and last name in the spaces provided.
Home Phone
Please enter the student's home phone in the space provided.
Mom's or Female Guardian's Cell Phone
Please enter the Student's Mom's or Female Guardian's cell phone number in the space provided.
Dad's or Male Guardian's Cell Phone
Please enter the student's Dad's or Male Guardian's cell phone in the space provided.
Member of, or Regular Attender of Another Church?*
Please select your answer to this question from the drop down list.
Would you like more information about Adams Square Baptist Church?*
Please select your answer to this question from the drop down list.
Permission Agreement
To Whom It May Concern: I give permission for my child to ride the Bus Ministry bus to attend Adams Square Baptist Church and understand that my child is responsible for following the rules and regulations made by the church and sponsors of this activity. It is expressly understood by the parents or guardian of the child for whom this registration is made that my child is in a condition that warrants his or her participation in this event, and that the adult leaders of this activity are hereby granted permission to take the named youth to a medical doctor for examination and treatment of any accident or illness that may arise during the term of said activity. In consideration of their acceptance for said activity, said church, its agents and employees, are hereby released and relieved from all liability of accident and injury to said youth arising from any and all activities of this event.
Parent's / Guardian's Signature*
First Last
Please type your first and last name in the spaces provided signifying your agreement with the permission terms.
Date of Permission Slip Submission*

Please enter today's date by selecting it from the calendar.

Reaching Worcester With The Word!

Bus Ministry

Bus Ministry Permission Slip

Permission Agreement

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