Parental Permission for Spring Arbor Free Methodist Youth Activities On and Off Campus
Effective September 2017 - August 2018 (you may complete one form for multiple youth between 5th and 12th grade if the medical insurance, last name, and emergency contact info are the same). This form will be used for all mission trips, retreats, and off campus trips as well.
Last Name of the student(s)
Your answer
T-Shirt Sizes (for any retreats or trips where shirts are included)
(Please list all children between 5th - 12th grade in order from YOUNGEST to OLDEST followed by their t-shirt size)
Your answer
Name(s) of Youth and Date of Birth
(Please list all children between 5th - 12th grade in order from YOUNGEST to OLDEST)
Your answer
Grade(s)
(If filling out for more than one child please check all that apply)
Required
Do you have more than one child in the same grade?
(please tell us below by listing the names of these students and their grade)
Your answer
Mailing Address
Your answer
City
Your answer
Zip Code
Your answer
Name of Parent(s) or Guardian(s)
Your answer
Parent or Guardian Email Address
Your answer
Primary Phone Number
Your answer
Is this a cell number?
Alt. Phone Number
Your answer
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