Please enable JavaScript in your browser to complete this form.I, __________________ (parent/legal guardian name), am the *FirstLastCheck one: *ParentLegal guardianof _____________(child's name). I consent to him/her caring for children during children's programs and activities sponsored by Second Reformed Presbyterian Church from time to time. I confirm that _____________ (child's name), has never been the subject of any criminal, legal, or administrative investigation, has not been suspended or expelled by any education institution at any time, has never been accused of harming or abusing another person, and is otherwise fit and able to assist with child care under supervision of an adult. *FirstLastI also understand that Session will make all reasonable efforts to inform me of any report that my child has committed or been accused of any wrongdoing while assisting with children's programs or activities. However, I also understand that Session reserves the right to report any suspected wrongdoing allegedly committeed by my child to the appropriate government entity in accordance with all applicable laws without first informing me of such reporting. I also understand that Session reserves the right to report any wrongdoing allegedly committed by my child to any other person. Sincerely, __________________ (printed name). *FirstLastDate: *Submit