Parental Mask Authorization Form

Parent/Guardian Name

This address will receive a confirmation email

Phone

Address

Child or Student's Name

I request that North Point Community Church require my child to wear a face mask or face-shield during North Point Kids or North Point Students programs for the duration of the COVID-19 pandemic.

Signature of Parent or Guardian (Type Name or Names)

Date of Signature

My child cannot wear a face mask or face-shield during North Point Kids or North Point Students programs.

Parent/Guardian Signature

Date of Signature

Reason

Description

Please fill out this form and click submit.

Parental Mask Authorization Form

Description

Please Fix the Following