WZ Youth Retreat at Camp Little Red - Overnight Permission Form

OVERNIGHT PERMISSION FORM - Camp Little Red YOUTH RETREAT WEST ZION POLICY STATEMENT: A participant in a church activity that involves overnight activities of any kind shall be provided with the Overnight Parental Permission Form that must be signed and returned to the leader of the event before the activity. The use of the “Overnight Parental Permission Form” represents a good-faith effort on the part of the church to keep parents fully informed and to provide the proper care for the participant. The “Youth-Authorization and Medical Consent Form” is also required to be on file in the church office. INFORMATION FOR THE PARENT OR GUARDIAN TO KEEP: 1. Type of Activity: Overnight Youth Retreat at Camp Little Red 2. Date, Time and Place of Activity: • Friday, November 22, 2019 – leaving from West Zion at 5:00pm • Saturday, November 23, 2019 – arriving to West Zion at 8:00pm • Staying at Camp Little Red in heated cabins 3. What the Youth will need: • Bedding, outdoor wear, toque, mitts, boots, warm coat, Bible, toiletries, towel, • There will be a number of outdoor activities so extra changes of clothes and socks might be a good idea 4. Mode of Transportation: Bus 5. Cost of Event: $50 plus money or a bag lunch for Tim’s/Wendys on Friday. • Includes all food: Friday Snack through to and including Saturday Supper. • Includes transportation 6. Registration Deadline: Sunday, November 17, 2019 • Please give money to Ardith Neufeld or Pastor Keith. ~ Cheques payable to West Zion with 2019 Youth Retreat in memo line. eTransfers are available for payment – please refer to parent eMail for instructions 7. Allergies: • Please list on the form below any allergies your youth has that need to be brought to our attention. We may need parental help to supply the needed supplements to the planned menu for those with allergy sensitivities. 8. Emergency Contact: • Activity Leader: Pastor Keith Dillabough • Telephone: 587-576-1536
Parent's/Guardian's Name(*)
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Parent's/Guardian's eMail Address:(*)
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Student's Name:(*)
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Please list any food allergies we need to be aware of:(*)
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I have read the accompanying information regarding this youth event:
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I grant my permission for emergency medical treatment to be administered if such treatment becomes necessary and I cannot be reached. (*)
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I grant permission with my signature, to the above named student(s) to attend the WZ Youth Retreat at Camp Little Red November 22, 23 of 2019:(*)
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Please mark today's date:(*)

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Signature:(*)
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