River Youth | Permission Slip
For everyone's safety, we require a permission slip/release form for events where youth/children will be attending events away from the church (Melville Community Works) building.

We will do our best to arrange for transportation; please feel free to reach out to us if you are willing and/or able to help out in any way with transportation and/or supervision.
  • Argee Gamolo 306-730-0553
  • Pastor Tim Oehler 306-728-2250
  • Dawn Oehler 306-607-9094
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Email *
Event: *
Group Meets at the Church Parking Lot (Melville Community Works) @ 5:45pm to deploy
Required
Name of Young Person: *
Emergency Contact name:
*
Contact Number: 
*
Any Allergies/Disabilities/Special Notes?
Parent/Guardian Name/Signature: *
I give permission for my son/daughter to attend;
this is your electronic consent/signature. 
Contact Number:
if different than above emergency contact number
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