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Student Permission Form
I, the parent or guardian of the children listed below, do hereby grant permission for these students to participate in the activities hosted on the dates listed below. I also grant permission for my child to attend small group activities that may occur off of church property provided that a notice (digital or in print) is posted two weeks prior to the small group event occurring. I understand that Maywood's child policies and procedures will be followed and I acknowledge that I have submitted a Medical Release Form, providing information to be used in the event any medical decisions need to be made.
Date
Activity
Location
January 17-20
Nexus Winterfest
Silver Birch Ranch, White Lake, WI
February 2
H20 and Nexus Super Bowl Party
TBD - within 15 miles of church
February 21-23
H20 and Club 45 Winter Retreat
Camp Awana, Fredonia, WI
May 11
High School Senior's Dinner Out
TBD - within 15 miles of church
Parent / Guardian Name
Primary Phone
Email Address
Today's Date
Emergency Contact
Emergency Phone
Child 1 Name
Child 2 Name
Child 3 Name
Child 4 Name
Child 5 Name
Becoming a People to Reach People for Christ
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Maywood Free Church