Impact Festival 2018
July 25-29, 2018 -- Camp Greene Hills -- Alexandria, PA

St. Paul's youth and leaders will attend this event as part of Faith UMC Bellefonte's group. More info to come on this!

Student Name *
Your answer
Grade in school come fall 2018 *
Got a middle school student who wants to go? It may be an awesome opportunity for them, but let's talk. Please email me ( or give me a call at the church (237-2163). Thanks!
Student cell number
Your answer
Parent/Guardian name *
Your answer
Parent/Guardian cell number *
Your answer
Emergency contact name for Impact week (if different from above)
Your answer
Emergency contact number for Impact week (if different from above)
Your answer
Does your family have any tents that our group could borrow and use during Impact? If so, please give the number of tents and their capacity (in people). Thank you! *
Your answer
New this year: There may be an opportunity to support our group during Impact week by bringing a meal (or part of a meal) down to Greene Hills to help feed our combined St. Paul's/Faith UMC campsite. If this is a part of the final plan, would your family be interested in helping in this way?
The cost of this event is $90 for the first 6 signed up, and $100 thereafter. If the cost would be prohibitive for your family, please talk with Dave. We don't anyone to miss out on Impact because of the cost. *
There is also a 25% discount for families sending 3 students, and a 50% discount for families sending 4 or more students. Got all that?
I give my permission for my child to attend and participate in IMPACT Festival 2018. 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, *
Your answer
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