WPA Youth
Edmonton Trip
Details
It's Finally Here! We are heading to Edmonton on June 11. There we will be going to the Launchpad Trampoline Park, having lunch and Monster Mini Golf. Meet at the Church at 9:00am and we will tentatively be back around 4-5pm. (If it is sooner, your youth will let you know).
Cost
If you helped with highway clean up, then the cost for you is covered. If you did not help, the cost is $80. This covers the payment for the trampoline park, mini golf, lunch and fuel.
What To Bring
Comfy clothing. Keep in mind that we are going to a trampoline park (lots of jumping). THey do have change rooms. Deodorant is important. Money for any snacks that you may want. Lunch is covered.
Double Waiver
The current waiver that you are filling out is for the Church to have information as well as permission to go on this trip. However, Launchpad Trampoline Park will need their own waiver filled and needs to be filled by a parent. Before going on the trip, fill out their e-waiver at, http://launchpadtrampoline.com/waiver/ make sure you click the southside waiver
If you would like to be e-mailed information, please add it here
example@example.com
Youth Name
First Name
Last Name
Parent/Guardian
First Name
Last Name
Parent Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Health Care Information
Allergies
Other Medical Conditions
Alberta Health Card Number
Medical Consent
I, the parent or guardian named above, authorize the ministry staff of Wainwright Pentecostal Assembly to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the child named above. I undertake and agree to indemnify and hold blameless the ministry staff and volunteers, Wainwright Pentecostal Assembly, its Pastors, and Board from and against any loss, damage or injury suffered by the child as a result of being part of the programs of Wainwright Pentecostal Assembly as well as of any medical treatment authorized by the supervising individuals representing the church.
Release of Liability
Parent of participant under the age of 18: By signing this waiver form, I grant permission for the child named above to participate in and engage in the Wainwright Pentecostal Assembly Youth Program. My child is physically and mentally able to participate in these activities, unless I have already discussed it with one of the leaders. I acknowledge that there are certain risks involved in said activities and have discussed them with my child if necessary. I release Wainwright Pentecostal Assembly, its affiliates, volunteers, and employees of all responsibilities for any injuries,to body or property, which may occur to my child during the course of these activities. In the event of an emergency in which I, or the alternate contact, cannot be reached, I authorize the adult leaders to make medical decisions for my child, and to administer first aid if deemed necessary.I further agree to indemnify and hold harmless Wainwright Pentecostal Assembly and its affiliates, volunteers, and employees of any and all claims arising from the participation of my child in activities or as a result of injury or illness of my child or mine during such activities.
Signature
Questions?
If you have any questions please feel free to contact Pastor Andrew and he will do his best to answer them. Phone: 780-842-3033; E-mail: andrewjensen@live.ca; or Facebook WPA Youth
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