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MyPAC Login
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
✕
