707 Winter Retreat Release Form
Name
*
First Name
Last Name
INSURANCE COMPANY
*
INSURANCE POLICY #
*
UNDER NAME OF:
*
Relationship to student:
*
Oak Pointe Church Participation Release
*
Young Life Waiver, Release and Indemnification Agreement
*
*
PARENT/GUARDIAN SIGNATURE
*
Clear
PARENT/LEGAL GUARDIAN NAME
*
First Name
Last Name
PARENT/LEGAL GUARDIAN EMAIL
*
example@example.com
Submit
Should be Empty:
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