tf/yf camp consent form

GALILEE B-P CHURCH YOUTH FELLOWSHIP / TEENS FELLOWSHIP CAMP 19TH - 22nd DECEMBER 2011 MEET AT WHITE SANDS AT 1.00PM CAMP FEES : $20 Consent Form Name: _________________________________________ Age: ______________ Address: _______________________________________ Sex: M / F _______________________________________________ Parent’s / Guardian’s Consent I/We the undersigned do hereby give permission for the above-mentioned person to attend the above mentioned activity. I/We authorize Galilee B-P Church and/ or its representatives to obtain any medical treatment for the said person during the conduct of any program, ministry or activity in connection with the activity whenever necessary. I/We will also not hold Galilee B-P Church and its representatives liable in any way. Any enquiries, please contact Dness Charissa Heng: 96820308 Justin Tai: 90279745 _________________________________________________ ________________ (Name and signature of parent/ legal guardian) Date The child above has a medical history of: ________________________________________________________________________ ________________________________________________________________________ In the event of an Emergency, please contact: Name: ___________________________________________ Address: _________________________________________ _________________________________________________ Tel: ___________ (H) ____________ (O) ___________ (Hp) Relationship to child: ___________________________