Birth Date Permission Form - Plymouth Alliance Church

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Birth Date Permission Form
Please fill our the correct blanks and click on the submit button

Contact Information

* Indicates required field

Name *

First

Last

Email *

Permission:

I, (please enter your name in the box below) give Plymouth Alliance Church my permission to use my birth date, which is on file, to do a background check with the WI Courts. I understand that if anything questionable shows up I will have to go throught he normal process. *

Submit

Plymouth Alliance Church
1203 Fairview Drive
Plymouth, WI 53073

920-893-5525

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Home/About Us
Ministries
Sermon Audio
Events
- Weekly Schedule
- Sign-Up >
  - Membership Step 2
Community Connections
Give
MyPAC Login