Feed My Starving Children
October 2, 2021
6-8 PM
FMSC Chanhassen
Hosted by the GO Team


Permission:

I, parent/guardian listed below, give permission for the minors, list below, to participate in this above stated activity.

Emergency Contact:

In the case of an emergency, I, parent/guardian listed below, understand that every effort will be made to contact me. If I cannot be reached I hereby give Side By Side Ministries (SBS) permission to act on my behalf in seeking emergency treatment for my child, listed below, in the event that such treatment is deemed necessary by SBS. I give my permission to those administering emergency treatment to do so, using those measures deemed necessary. I absolve SBS from liability in acting on my behalf in this regard so long as SBS is not grossly negligent.

Transportation:  Side By Side Ministries will not be providing transportation to or from the Feed My Starving Children Service event.  Participants must come up with their own transportation for this activity.  Side By Side will be responsible for participants once they are on site at Feed My Starving Children site starting at 6 PM until they leave the site at 8 PM.  

Photo/Video release:

I, parent/guardian listed below, authorize SBS to use photos or video taken of my child, listed below, at this event for SBS promotional purposes only. At no time will photos or videos be used by unrelated organizations.

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Parent/Legal Guardian Name *
Parent/Legal Guardian Phone # *
Parent/Legal Guardian Email Address *
Emergency Contact Name *
Emergency Contact Phone # *
Student Name *
Student #2 Name (If applicable)
Student #3 Name (If applicable)
Student #4 Name (If applicable)
Parent/Legal Guardian Signature (Please type full name) *
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