• Travel With "Men2Be" Permisson Slip

    Men2Be Inc.

  •       give permission for my child (Child’s Name to attend Kentucky Lakes / Prizer Point KOA
    1777 Prizer Point Rd Mile Marker 55 on Lake Barkley, Cadiz, KY 42211


    In the case of an emergency, please contact: (Parent or Guardian Name)                

    *Please note: Men2Be is not responsible in case of accidental injury or death while child is in the care of Men2Be volunteers and/or mentors.
     
    If there are any allergies or medical conditions/precautions that we should be aware of, please list them here:
                

  • IF you would like a T-Shirit please select size

  • The cost of the trip will be $25.00

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty: