2019 Surrender Camp Permission Slip
My son/daughter, has my permission to participate in the 2019 Surrender Camp. This trip is being sponsored by First Spanish Assembly of God.

I indemnify and will not hold First Spanish Assembly of God and volunteers, and any other authorized/co-sponsoring organization of First Spanish Assembly of God liable for any injury to my child as a participant in 2019 Surrender Camp.

Furthermore, I indemnify and will not hold First Spanish Assembly of God and/or any other authorized co-sponsoring organization and staff liable for medical and/or surgical treatment rendered to my child in case of illness, accident or emergency.

Date of Trip: March 10-12, 2019
Duration of Trip: We will leave for The Master’s Workshop on March 10, 2019 at 6pm. & will return to FSAG on March 12, 2019. The time of arrival is 1 pm. Please arrange a parent or authorized person to pick up your child at that time.

My son/daughter has permission to participate in the Activity.

In charge of trip Mayra & Gustavo Vargas 254-716-8281

If you have an emergency, please contact a First Spanish Assembly of God Pastor during this trip.

Thank you for your prayers and support during this trip!

Child's Name: *
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Date: *
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Parent's Name: *
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Address: *
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Emergency Contact *
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Emergency Contact Cell Phone Number *
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PLEASE LIST ALL ALLERGIES AND/OR MEDICAL CONDITIONS WE NEED TO KNOW!
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Parent/Guardian signature *
by filling this form and giving your signature, you are agreeing to the above information and give permission for your child to attend the 2019 surrender camp.
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