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  • Winter 2010 Online Registration

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    faithchurchyouth
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    ______________________ has my permission to attend the Winter Retreat from February 19-21, 2010. If time is of the essence, I give permission for Faith United Methodist Church staff to act on my behalf to secure medical treatment as necessary. It is my responsibility to pay for any medical service required by my child during this outing.

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    ______________________ has my permission to attend the Winter Retreat from February 19-21, 2010. If time is of the essence, I give permission for Faith United Methodist Church staff to act on my behalf to secure medical treatment as necessary. It is my responsibility to pay for any medical service required by my child during this outing.

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    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    40 vues1 page

    Winter 2010 Online Registration

    Transféré par

    faithchurchyouth
    ______________________ has my permission to attend the Winter Retreat from February 19-21, 2010. If time is of the essence, I give permission for Faith United Methodist Church staff to act on my behalf to secure medical treatment as necessary. It is my responsibility to pay for any medical service required by my child during this outing.

    Droits d'auteur :

    Attribution Non-Commercial (BY-NC)
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    sur 1

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    _____________________________ has my permission to attend the Winter


    Retreat from February 19-21, 2010. In the event of illness, injury, or other emergency
    involving my child, I understand that every effort will be made to contact me. If time is of the
    essence, or if I cannot be reached, I give permission for Faith United Methodist Church staff
    to act on my behalf to secure medical treatment as necessary. I understand that it is my
    responsibility to pay for any medical service required by my child during this outing. I absolve
    Faith United Methodist Church from liability in acting on my behalf in this regard as long as
    they are not grossly negligent.
    Phone #: ________________________

    _____________________ _________ _____________


    Parent/Guardian Signature Date

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