2019 IGNITE Trip Registration Form

2019 IGNITE Trip Registration Form

Virginia Beach, VA June 16-21, 2019
Name

First Name Last Name
Date of Birth

Month Day Year
Date Date Picker Icon
Age at time of Trip (6/16)
Youth Cell Number

Area Code Phone Number
T-shirt size
Height
Parent or Guardian Name

First Name Last Name
Parent or Guardian Cell

Area Code Phone Number
2nd Parent, Guardian, or Emergency Contact Name

First Name Last Name
2nd Parent, Guardian, or Emergency Contact Cell

Area Code Phone Number
ATTENDANCE POLICY – 75% attendance

I understand there are 17 rehearsals, 9 singing opportunities (9:45 &11:15 count as 2, and our Winner… fundraiser) and four (4) special rehearsals that IGNITE participants are expected to attend before the trip.

I will make every effort to attend rehearsals and worship services in which IGNITE participates, limiting my absences to 5 missed rehearsals and 3 missed singing opportunities. I understand if I am late by more than 15 minutes, it will count as ½ an absence. If I have to miss a rehearsal or Sunday morning, I will contact Ms. PJ in advance via email (pj@pvumc.net) or text/phone (470-3104).
As parent or legal guardian, I hereby give permission for my child to participate in the IGNITE Music in Missions Tour, June 16-21, 2019. I further understand that, in the event my child requires medical or dental treatment while on the trip, reasonable efforts will be made to contact me; however, if I cannot be reached, I hereby consent and give permission to the adult counselors acting on behalf of the ministry for this trip, as agent for me to consent to any X-ray examination; injections, anesthesia, medical, dental, or surgical diagnosis and treatment; and hospital care and treatment advised and supervised by a physician, surgeon, or dentist licensed to practice under the laws of the state where the services are to be rendered, either as an outpatient or in a hospital. To the best of my knowledge, I have listed on the health form my child’s allergies, medication being taken, medical problems and other pertinent information. My child has permission to participate in all prescribed activities except as noted by me.
Parent Signature

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