School's Out Lock-In

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COST: $15 CASH OR CHECK MADE OUT TO HOSANNA FELLOWSHIP CHURCH
8pm-8am June 4-5, 2021
@ Rise-UP
We will be active through out the night so bring closed toed shoes and appropriate clothing. We will also be outside so bring a clothes for cooler temperatures.
For more information or questions call Jacob Dowling (423) 794-9176.

*** PARENTS IF AT ALL POSSABLE PLEASE PLAN TO DROP OFF AND PICK UP ***

Student Name *

In case of emergency notify (Name and number) *

Insurance info: (Name and Number) *

PARENTS- If you have any special instructions or restrictions for your child, please list them here: *

Allergies *

Need a Ride? *

Yes

Parents Signature: This Signature confirms that I hereby give witness to the proper completion of this form by the minor's parent or guardian. I release and hold harmless Hosanna Fellowship, Jacob and Deanna Dowling, and designated Chaperones from Liability, fully and completely. I release Jacob and Deanna Dowling and other designated chaperones from Hosanna Fellowship to the assistance of medical treatment for my child but not to pay for bills incurred. This E signature represents that my child is responsible and mature to obey all rules and directives given by Hosanna Fellowship and its Chaperones for The Schools out Lock-in. *

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