Fuel Youth Group
PERMISSION SLIP
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Email *
EVENT DETAILS
Fall Fest at Wesley Woods
1001 Fiddlersgreen Rd, Grand Valley, PA
Leaving Youngsville Free Methodist Church at 10:30 am
Estimated Return Time: 2:45 pm
Student Name *
Age *
Address *
City/State/ZIp *
PARENTAL CONSENT
I give permission for my son/daughter to attend the Fall Fest at Wesley Woods with the Fuel Youth Group from Youngsville Free Methodist Church on Saturday, October 9, 2021.

In the event of an emergency, I give permission for the Fuel Leaders to take my child to be evaluated, diagnosed and treated as advised by medical professionals.
Best Phone Number to reach me *
Signature *
Relationship *
Date *
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Youth Pastor
Nikki Dubyne
email: nikki@ybfree.org
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