Foundation 101: Fishing Outing
Saturday, June 6 (8:30a - 3:30p)
Participant's Full Name
*
First Name
Last Name
Grade
*
Please Select
6
7
8
9
10
11
12
N/A
Parent or Guardian's Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
FORM
I give permission for the said minor to attend a fishing field trip to the Victor Ashe Park.
*
Please Select
YES
NO
I understand that transportation and lunch will be provided. I also understand that my child will be required to wear comfortable clothing and tennis shoes. (Please do not wear new clothes or shoes.)
*
Please Select
YES
NO
I personally, and on behalf of said minor, clear and release Foster Chapel Baptist Church, its business partners, and volunteers from any claim for personal injuries that might be sustained while on such trips or while returning to their home.
*
Please Select
YES
NO
In the event of an emergency, I consent to emergency medical treatment of the minor participant listed while in the care of the Foundation 101 ministry leads.
*
Please Select
YES
NO
I hereby authorize Foundation 101/its agents to take and use photos/videos of my minor child/children identified above while participating in Foundation 101 activities.
*
Please Select
YES
NO
I understand that F101 has a Code of Conduct that all minors and adults must follow at all times to participate in sessions and activities.
*
Please Select
YES
NO
Submit
Should be Empty: