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    Permission Slip (Emmanuel Baptist Church) 7!3!12

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    taylor_glymph
    Emmanuel Baptist Church is hosting a youth revival on July 27, 2012 featuring Pastor Brian. Parents are asked to complete a permission slip and emergency contact form by July 25th to allow their students to attend. The permission slip details the event location, times, cost and casual dress code. It releases the church from liability and authorizes medical treatment if needed. The emergency form requests insurance and medical information to have on file in case of any issues that may arise during the event.

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    Permission Slip (Emmanuel Baptist Church) 7!3!12

    Uploaded by

    taylor_glymph
    18 views3 pages
    Emmanuel Baptist Church is hosting a youth revival on July 27, 2012 featuring Pastor Brian. Parents are asked to complete a permission slip and emergency contact form by July 25th to allow their students to attend. The permission slip details the event location, times, cost and casual dress code. It releases the church from liability and authorizes medical treatment if needed. The emergency form requests insurance and medical information to have on file in case of any issues that may arise during the event.

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    Permission Slip (Emmanuel Baptist Church)7!3!12

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    Emmanuel Baptist Church is hosting a youth revival on July 27, 2012 featuring Pastor Brian. Parents are asked to complete a permission slip and emergency contact form by July 25th to allow their students to attend. The permission slip details the event location, times, cost and casual dress code. It releases the church from liability and authorizes medical treatment if needed. The emergency form requests insurance and medical information to have on file in case of any issues that may arise during the event.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views3 pages

    Permission Slip (Emmanuel Baptist Church) 7!3!12

    Uploaded by

    taylor_glymph
    Emmanuel Baptist Church is hosting a youth revival on July 27, 2012 featuring Pastor Brian. Parents are asked to complete a permission slip and emergency contact form by July 25th to allow their students to attend. The permission slip details the event location, times, cost and casual dress code. It releases the church from liability and authorizes medical treatment if needed. The emergency form requests insurance and medical information to have on file in case of any issues that may arise during the event.

    Copyright:

    Attribution Non-Commercial (BY-NC)
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    EMMANUEL BAPTIST CHURCH

    YOUTH REVIVAL
    Dear Parents,
    Pastor Brian will be ministering at a youth revival at Emmanuel Baptist
    Church on July 27, 2012 and is inviting your student to attend. Please
    complete and return the attached permission slip and emergency form
    as consent to your youths attendance on or before July 25, 2012.
    Please feel free to contact our office at 919-402-9622 Ext. 4017 should
    you have questions, concerns or desire additional information. We
    thank you for your continued support and look forward to having your
    youth on board!

    Sincerely,
    ONEL1FE Staff

    Permission Slip
    I, __________________________________________, am the parent and/or legal guardian of
    _______________________________________, and agree that ONEL1FE Youth Ministry of World
    Overcomers Christian Church is organizing the following outing:
    Emmanuel Baptist Church
    204 Turner Street
    Thomasville, NC 27360
    Date: July 27, 2012
    Departure: ONEL1FE Facility 4:45pm
    Return/Pick-Up: ONEL1FE Facility 12am
    Attire: Casual Dress
    Cost: $5

    _______________________________________ has my permission to attend the trip listed above


    and participate in all the related activities. I hereby accept any and all risk of injury
    to my child and verify this statement with my signature below. I authorize the
    World Overcomers Staff Members and Youth Leaders to obtain and consent to any
    medical treatment in the event of injury or illness and agree to pay any expenses
    incurred for treatment. World Overvcomers Christian Church and the employees,
    servants and agents are hereby released from liability for all actions taken in good
    faith during the trip.
    Parent/Legal Guardian Name
    ______________________________________
    Signature

    ______________________________________
    Date

    Emergency Contact Information


    Please provide the following information
    Parent Name(s)
    ________________________________________________________________________________________
    Phone #: Home: ________________________ Cell: ____________________________________
    E-mail: _______________________________________________________________________________
    Students Insurance Carrier: ________________________________________________________
    Insurance Number: __________________________________________________________________
    Current Physician: ___________________________________________________________________
    Current Physician Phone #: _________________________________________________________
    Do you have an existing medical condition? Yes
    No
    If yes, please list:
    _________________________________________________________________________________________
    Do you have any food allergies? Yes No
    If yes, please list:
    _________________________________________________________________________________________
    Are you currently taking any prescribed medications? Yes No
    If yes, please list:
    _________________________________________________________________________________________

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