Youth Group Ski Trip

I give permission for my son/daughter to participate in the ski trip to Massanutten Ski Resort, February 17-20, 2023, and for the leaders of the trip, Jaime Ambrose, Jennifer Newsome, Lane Newsome and Marc Steiner to obtain any necessary treatment in the event of an emergency. 

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Youth Name
Youth Address
Youth Home Phone Number
Youth Cell Phone Number
Emergency Contact Name and Phone Number
Medical Insurance Company
Insurance Policy Number
Youth Date of Birth
Participant will be:
Participant skill level is:
By typing my name below, I give my youth permission to participate in this event.
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