Event registration
CEDAR POINT TRIP MAY 29
Cost: $45 (covers ticket & travel expenses - NOT food & drink)
Name of Youth Participating: *
Your answer
Youth Cell Phone # (enter N/A if youth does not have cell phone): *
Your answer
Parent/ Guardian Name: *
Your answer
Parent/Guardian Cell Phone #: *
Your answer
Emergency Contact *
Your answer
Emergency Contact Cell # *
Your answer
I understand that the cost for ticket & travel expenses due the day of the trip is $45.00, and that participant will be responsible to have $$ day of trip for food & drink. *
Required
I hereby authorize the staff or responsible volunteers of St. John Mennonite Church to seek medical attention for my child should an emergency arise, provided that I will be contacted as soon as possible. Failure to reach me shall not prevent an application of immediate, necessary medical treatment not excluding injection, anesthesia, or surgery. I further agree that St. John Mennonite Church disclaims any and all liability in the unlikely event of injuries sustained in connection with the special events of the church year. The undersigned does also hereby give permission for our (my) child to ride in any vehicle designated by the adult in whose care the minor has been entrusted while attending and participation in activities sponsored by St. John Mennonite Church. By clicking the box below I acknowledge I have read the above statement and give permission for my child to attend this event. *
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