2019 Adventure Weekend UYM Parental Consent Form
Union Church’s Spring Retreat is just a few weeks away! We’ll spend the weekend at Teen Quest playing, making new friends, and hearing about the love of God! This un-forgettable weekend is the perfect escape from the pressures and stresses of school. It’ll be a weekend you’ll never forget!

Total cost is $120 (checks can be made out to Union Church). $20 deposit and completed consent form are due by March 17. Final payments and completed Teen Quest Consent form (get from Kellyn or webpage) are due April 12.

Departure: Friday at 5pm from Union Church parking lot
Return: Sunday at 3pm at Union Church parking lot

Packing List:
Warm Clothes (jacket, hat, gloves, old shoes/boots, etc)
Clothes you don’t mind getting dirty during our adventure activities
Bedding (sleeping bag and pillow)
Bible
Toiletries (towel, tooth brush, toothpaste, comb, soap, shampoo, deodorant, etc.)
Extra $ (meals to and from Teen Quest)
Snacks if you want them!

Email address *
Student listed below have permission to take part in Spring Retreat: Adventure Weekend @ Teen Quest on April 12 - 14, 2019 with Union Presbyterian Church Youth Ministry. *
This consent form gives permission to seek whatever medical attention is deemed necessary, and releases Union Presbyterian Church of any liability against personal losses of the above named student. I the undersigned have legal custody of the student/students named below, a minor, and have given our consent for him/her to attend Spring Retreat: Adventure Weekend @ Teen Quest. I understand the inherent risks involved in related activities and hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my student's/ students' involvement in this event. *
Parent/Guardian Full Name *
Your answer
Parent/Guardian Phone Number *
Your answer
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