permission slip

Permission Slip July 31, 2022 Lunch and bowling

All students under 18 must have a form filled out
Student Name*

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
By signing this form, I give permission for my Son/daughter named above to attend an outing with Hillcrest AG on Sunday, July 31, 2022 with Youth Pastor Jordan Henshaw. My signature also states that the church nor anyone associated will not be liable for any injuries. If an injury occurs, I do give permission for medical treatment to be administered by the closest professional medical facility.
Signature*
Should be Empty:

Permission Slip July 31, 2022 Lunch and bowling