EVENT

Permission Slip

Youth Permission Slip

Parent/Legal Guardian's Name

I give permission for my child/children to take part in the activity indicated below.

Child/Youth's Image Consent

I hereby grant/do not grant permission for my child's/children's image to be included in pictures, videos, promotional materials, and publications connected with First Baptist Church, Nashville, GA.

Child/Children Information

Activity Information

Xtreme Winter Youth Conference
Gatlinburg, TN
December 28-30, 2021

This is a three day event that will take place in Gatlinburg, TN. Our group will leave from FBC Nashville on Dec. 28th and travel via charter bus to Gatlinburg. We will stay over night in hotel accommodations in Gatlinburg on the 28th and 29th and then return to FBC Nashville on the 3oth.

Event Details Here

 

Emergency Contact #1

Emergency Contact #2

Parent/Legal Guardian Signature

I am fully aware that there will be ample supervision for this event. I will complete the Medical/Liability Release Form for my child. By signing (typing in your name) this permission slip, I am confirming that the information on his/her Medical Release Form is current and up to date. I understand in the unlikely event of an accident or emergency that my child will receive adequate care based upon the information given.

PLEASE PRINT MEDICAL RELEASE FORM FROM LINK BELOW. FILL OUT INFO AND SIGN A SEPERATE COPY FOR EACH CHILD YOU ARE SUBMITTING.
PLEASE RETURN FILLED OUT FORM TO THE CHURCH OFFICE BY 12/15/21

Download Medical Release Form

Parent/Legal Guardian's Email

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