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River Youth | Permission Slip
For everyone's safety, we require a permission slip/release form for events where youth/children will be attending events away from the church (Melville Community Works) building.
We will do our best to arrange for transportation; please feel free to reach out to us if you are willing and/or able to help out in any way with transportation and/or supervision.
Argee Gamolo 306-730-0553
Pastor Tim Oehler 306-728-2250
Dawn Oehler 306-607-9094
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* Indicates required question
Email
*
Your email
Event:
*
Fri. Apr 26 - Family Bowling (all ages) @ Melville Bowling Arena 6:30pm
Required
Name of Young Person:
*
Your answer
Emergency Contact name:
*
Your answer
Contact Number:
*
Your answer
Any Allergies/Disabilities/Special Notes?
Your answer
Parent/Guardian Name/Signature:
*
I give permission for my son/daughter to attend;
this is your electronic consent/signature.
Your answer
Contact Number:
if different than above emergency contact number
Your answer
Send me a copy of my responses.
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