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Prayer Request
Permanent Permission Slip
Family Fact Sheet
Guest Survey
Permanent Permission Slip
Submitted by
Jeni
on February 6, 2019 - 4:27pm
Name
*
Name of Spouse
Name of Child (ren)
*
Please list the names of all your children ages 0-18.
Permission
*
By signing my name below, I am stating that my child(ren) may participate in any activities/outings/events, knowing that they all will be fully chaperoned events. By signing my name below, I am also stating that I will not hold Tree of Life Ministries, or any employee, chaperone, or helper liable for any accident or injury my child(ren) may incur during any activities/outings/events.
Authorization
*
I give permission for my child(ren) to participate in any, or all, of the fully chaperoned activities/outings/events of Tree of Life Ministries.
Medical conditions/Allergies
*
Please list any medical conditions or allergies your child(ren) may have.
Exclusions
Please list any activity/outing/event you definitely DO NOT want your child(ren) participating in.
Medical Decisions
*
I authorize a chaperone of any activity/outing/event to make any medical decisions for my child(ren) in the emergency event, when I cannot be reached.
Disclaimer
*
This statement (form) is valid until revoked in writing by the person(s) that signed it.
Parent or Legal Guardian Phone Number
*
Spouse Phone Number
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