2017 Medical/Discipline/Media Release Form

This form is required for any participant on any church sponsored trip, function or event. This form will be used for all trips or events during that particular year. If there are changes throughout the year, it is the participants responsibility to complete an updated form
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    If Participant is under 18 years of age, please fill out the information below

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    Please provide the information for two emergency contacts

    Emergency Contact 1

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    Emergency Contact 2

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