Sunday, October 14, 2012
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: ___________________________
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment