This is a waiver form for Northgate Youth’s outing to Coastal Black's Pumpkin Fest on October 26, 2022. This event is for students in grades 5-12. See below for the key details pertaining to this outing.
WHAT: Pumpkin Fest at Coastal Black
WHERE: 2186 Endall Rd, Black Creek
WHEN: Wednesday, October 26, 2022
DROP OFF: 6:00pm at Northgate Church
PICK UP: 9:30pm at Northgate Church
COST: $15 (covers cost of admission, snack, and transportation)
As the parent/guardian of the above-mentioned student, I hereby grant permission for him/her to participate in all Northgate Youth's weekly gatherings. We release Northgate Foursquare Church, its volunteers, staff, and offsite hosts from all claims resulting in illness, injuries or other damages to property or persons, which may be sustained by your child during their participation at Northgate Youth. In the event of illness or injury, we hereby authorize leaders of the church to obtain appropriate medical assistance and treatment for the above child. Should they choose to act inappropriately over the course of the events, we hold the right to remove and have the student sent home.
PAY AT DOOR: If you are paying at the door, we can receive cash, debit/credit, and cheque. (Cheque payable to Northgate Foursquare Church, memo line: Youth event)
ONLINE PAYMENT: Please select the option below if you are paying via online.