South Columbia Baptist Church Youth Event Permission Form
We're having lunch, mini golf and ice cream! We will eat together right after church and leave for mini golf around 12:45 PM. We will return back to church for dessert. Pick up time from church is at 3:30 PM. Students may bring friends. Please let Jim know. Completed permission slip is required for each person attending.

PHONE NUMBER: 301-602-3446
EVENT NAME: Mini Golf and Lunch
PURPOSE: Fellowship
LOCATION: Church Fellowhip Hall & Columbia SportsPark, 453 Harpers Farm Rd, Columbia, MD
DATE: Sunday, May 27, 2018
TIME: 11:30-3:30 PM.
TRANSPORTATION: Chaperone provided carpool
COST: $15 -- (covers the cost for mini golf $10, lunch and ice cream, $5)

Please respond by Wednesday, 5/23/2018

I grant permission for my child(ren) to have lunch and participate in mini golf at Columbia Sports Park with the Youth Ministry on 5/27/2018. I recognize that every attempt will be made by the ministry leadership to provide a safe event, transportation to/from this event, and reasonable numbers of chaperones. This event includes potentially dangerous activities such as riding in a motor vehicle. Ministry activities will be supervised. Participants must adhere to safety instructions given at time of event by leadership.

Email address *
By selecting the "Yes" checkbox, you are signing this Agreement electronically. *
Student Name(s) *
Your answer
Student's Health Concerns: *
Your answer
Emergency Contact: *
Your answer
Phone Number: *
Your answer
I can chaperone and drive. (need 2 chaperones) *
Do you need cost assistance? *
I can donate for the ice cream sundae bar! Choose an item.
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