LifeWise [FIELD TRIP] Permission Slip

Permission form deadline is June 1, 2024. Campers must bring a packed lunch and water bottle. Drinks and snacks will be provided. We look forward to seeing your camper! God bless!
LIFEWISE GRAHAM LOCAL SUMMER CAMP 2024 PERMISSION FORM

June 10-13 | 9am-3pm | Harmon Park.St. Pairs
Student Information

Please fill out for each student who will be participating.
Student Name*

First NameLast Name
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Information
Student Grade*
Name*

First NameLast Name
Email Address*
Phone Number*
Please enter a valid phone number.
I grant permission to for my student to participate in this SUMMER CAMP conducted by LifeWise GRAHAM LOCAL. I have read and fully understand the terms of the Release and Waive found at lifewise.org/release and I waive the right to sue LifeWise Academy.*

Yes, I choose to allow my child to attend the field trip.
I consent to the photography or video of my student while on the field trip, for promotional purposes.*

YesNo
Signature*

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LIFEWISE GRAHAM LOCAL SUMMER CAMP 2024 PERMISSION FORM