8th-12th Grade 2-Day Lifest Event

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Permission Slip & Parent Contact Digital Sign-up Form

Event Details

Place: Sunnyview Expo Center in Oshkosh, WI
Date: Friday, July 9th - Saturday, July 10th
Time: Bus leaves FRC Oostburg at 1:00pm, we’ll be back late late on Saturday night.
Chaperone: Toby Thomack & Justin Oliver
Transportation: Church bus
Details: We will stay overnight at the Country Inn & Suites in Appleton Friday night, each student will partake in half a days work serving at Lifest
Cost: $50 which covers: ticket, transportation, & food.
Bring: Twin-size sleeping arrangement (sleeping bag/sheets/pillow), toiletries/towel, sunscreen,
clothes, swimsuit, closed-toed shoes, extra money for merch & snacks.
Due Date: This digital consent form & money (checks: FRC Oostburg) are due Wed., July 1st

Student's Last Name *

Student's First Name *

Student's Date of Birth *

YYYY

Address *

Name of Parent or legal guardian to contact in case of emergency *

Emergency Contact Phone Number *

If the above person cannot be contacted, what is the name of the next person who should be notified in case of emergency *

Backup Emergency Contact Phone Number *

Please list any medical conditions or allergies *

As a parent/legal guardian of the student listed above, I have reviewed the information about the youth ministry activity/event and give my permission for the subject of this release to be involved in the overall activities of this event. *

I/We understand all reasonable safety precautions will be taken at all times by First Reformed Church Oostburg and its agents during the events and activities. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk. I/We agree not to hold First Reformed Church Oostburg, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form. *

Yes

No (In turn not allowing my student to attend)

Parent/Guardian Digital Signature - In typing my name I am giving my digital signature that the information provided is true to the best of my knowledge *

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