Parental Permission Form

Event: “Meltdown ‘06” (Word of Life Snow Camp)
Where: Word of Life in Owen Sound, Ontario
When: Friday at 12:30pm- Sunday about 6pm (February 24th – 26th)
Cost: $80

I/we agree to allow __________________________ to go to the Snow Camp on February 24h-26th with Riverside Baptist Church youth group. I/we agree to give permission to the leaders to make any necessary decisions regarding the health and welfare of my son or daughter while in their care. The leader will notify me at any time during the trip regarding any problem involving my son or daughter. I release the church, including leaders on the trip, from liability for any accident or other injury.


___________________________ __________________________
Parent / Guardian Signature........................................Print Name


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Student Signature.......................................................... Print Name


Health Card Number: _____________________________________

Allergies:__________________________________________________________

Home Phone Number:__________________________________________________________

Emergency Phone Number:__________________________________________________________