JR. HIGH & SR. HIGH CHANGE CONFERENCE WAIVER
Oct. 28-29th 2022 Sanctuary Youth and Jr High Change Conference Weekend

Costs: $50
DEADLINE: Oct 23rd 2022

Activity: Change Conference Weekend for Jr & Sr High Sanctuary 
( 1303 French Settlement Rd, Kemptville, ON K0G 1J0)

Times: Friday: Bus Leaves Bethel @ 5:45pm
Pick up Time @ Bethel - 10:30pm
Saturday: Bus Leaves Bethel @ 8am
Pick up Time @ Bethel - 5pm
Chaperones: Simon Beeksma and the Sr High leadership Team

Questions? Please Contact Simon Beeksma sbeeksma@bethel.ca
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Parent Name/Guardian *
Parent/Guardian Phone Number

*
Parent/Guardian Email *
Student Name *
Student Grade *
Does your child have allergies? *
Required
If yes, please explain the allergy: *
Emergency Name and Contact Info *
My child(ren) has permission to attend this in-person convention held or sponsored by Bethel Pentecostal Church & Sanctuary Student Ministries: *
Required

How will You pay:

- E--transfer to giving@bethel.ca and put "Change Conference" and your Child(rens) name in the memo
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