Mackinac Island - July 31, 2019
This form is for the Mackinac Island trip on Wednesday, July 31, 2019.

A permission slip, medical form*, and payment are required for this event. The cost for this event is $30.

* The medical form for the 2018-2019 school year is valid through August 31, 2019.
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Code of Conduct
Our desire is to provide the best possible atmosphere throughout the trip. Students are expected to cooperate with staff at all times and to participate in all scheduled activities. Possession and/or use of alcoholic beverages and/or any type of drugs is strictly prohibited. Failure to remain within these guidelines at any time is cause for the student’s immediate to return home at the parent’s/guardian’s expense. We have read the code of conduct and agree to abide by it.
PARENTAL PERMISSION
I agree not to hold CAMPUS LIFE responsible for any injury that may result from my son’s/daughter’s participation in the trip to Mackinac Island – July 31, 2019. I also authorize CAMPUS LIFE STAFF to secure any emergency medical treatment necessary during the trip and I further assume all responsibility for the decisions so made. I hereby grant permission to CAMPUS LIFE the right to use, reproduce, and/or distribute any photographs, film, video-tapes and sound recordings of my child.
Student's Name: *
Student's Phone Number: *
If none, type none.
School *
Grade *
Gender *
Payment
I understand I am responsible for making full payment for Mackinac Island by July 22, 2019.

The price for this event is $30.

Payments can be made online at www.lansingcampuslife.net.

Checks can be made out to Lansing Campus Life and sent to:
5222 Dumond Ct.
Lansing, Mi 48917
Parent/Guardian Signature *
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