Stone Valley Vertical Adventures
High ropes course!!! October 15, 2pm-8pm
Name *
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Emergency contact name & number for Oct. 15 *
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Grade *
Parental Consent
I give my permission for my child to attend and participate in the 2017 SPYF outing to Stone Valley Vertical Adventures. I hereby release St. Paul’s UMC, its staff and volunteer leaders, from responsibility and liability for any injury or illness that my child may sustain during this event. I authorize an adult leader, as an agent for me, to consent to an x-ray examination; medical, dental or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon, or dentist (as appropriate) licensed to practice under laws of the state where services are rendered, either at a doctor’s office, any hospital, or any clinic. I expect to be contacted as soon as possible. Signed,
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Could your family lend a vehicle for the afternoon?
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