Consent for Pick Up

Check one please

Pickup for virtual packages Student on campus pickup

As the undersigned parent or guardian of the following student(s) at NHVA,

Student Name

I give permission for my student(s) or virtual package to be picked up from school by the following people: (please include yourself)

Name (Person 1)

Phone

Name (Person 2)

Phone

Name (Person 3)

Phone

Name (Person 4)

Phone

My child(ren) is NOT allowed to ride with or virtual packages are not allowed to be picked up by:

Name

This consent shall remain in continuous effect until revoked in writing and delivered to the above named school or until the student is no longer enrolled in the above named school.

Signature of Parents or Legal Guardian

Helpful Links

We have 2 services every Sunday morning: at 8:30 and 11:00 am.

Our worship services take place in our Sanctuary.

Address

418 Morgantown Rd. Natchez, MS 39120

Phone

(601) 445-4779

Email

info@nhvc.org

New Hope The Vision Center

FREE

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