Preschool Notary Form This form is for K3, K4, and K5 students and

Preschool Notary Form
This form is for K3, K4, and K5 students and must be filled out and notarized.
STATE OF ALABAMA
COUNTY OF
Before me, a Notary Public in and for said State and County, appeared
sworn or affirmed, says as follows:
and is known to me, after being duly
That affiant is the parent or legal guardian of the minor child/children
_; that affiant has
been notified by Adelia Burke, a representative of Northside Methodist Academy, that said church or
school has filed notice and is exempt under law from regulation by The Department of Human
Resources.
Parent/Legal Guardian
Sworn, or affirmed to and subscribed before me this
day of
_, 20_
Notary Public
My commission expires:
Form PS-1
Prepared by the Alabama Christian Education Association for the exclusive use of its
member church schools pursuant to Act No. 81-310