Summer Kick Off '22 Alexandria Area Youth for Christ
  • EVENT DATE: June 5th (Sunday 330-530pm)

  • Alexandria Area Youth For Christ

  • PERMISSION FORM

  • BIRTHDATE
     / /
  • Format: (000) 000-0000.
  • I give permission for above-named child to join and participate in the YFC Summer Kick Off. For more information contact Nick Jorgenson at 320-815-2995 /nick@yfcminnesota.com

  • MEDICAL INFORMATION

  • I agree that the staff member or adult in charge is authorized to solicit medical care in the best interest of my child in case of an emergency arising during the course of said minor's attendance at the aforesaid function. I further understand and agree that my medical insurance coverage or other applicable insurance coverage is the primary coverage for the protection of my child and that any insurance coverage provided by Youth For Christ is secondary. I understand that I am still responsible for my child, so if they don't abide by the rules or misbehavior, I am responsible to pick them up at the location. Liability Release: Every activity sponsored by this church is carefully planned and adequately supervised by mature adults. However, even with the best of planning and precaution, unforeseen events can occur. By signing this form, the parents or guardian agree to assume and accept all risks and hazards inherent in church related activities. They also agree not to hold Church of the Redeemer or its employees or volunteer assistants liable for damages, losses, or injuries to the person or property undersigned. The parents or guardians understand that they are signing for the minor listed on this form and the signature is for both a medical and liability release.

  • Format: (000) 000-0000.
  • Lake Community Church, 490 Voyager Drive Alexandria MN 56308

  • No Transportation Available by YFC

  • FREE

  • Contact Nick Jorgenson with ANY Questions 320-815-2995/nick@yfcminnesota.com

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