Foundation 101: FREE MOVIE OUTING
Sunday, November 22 (1:00 - 4:00p)
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 the field trip to Central Cinema (Central Av. Knoxville, TN) with Foundation 101
*
Please Select
YES
NO
N/A
I understand that transportation will be provided to and from the venue. (Departure: 12:30 PM | Return: 4:30 PM)
*
Please Select
YES
NO
I understand that Pizza, Popcorn & Drink provided. (Participants will be responsible for other concession items).
*
Please Select
YES
NO
I personally, and on behalf of said minor or myself, 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 child/children identified above or myself 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
N/A
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
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