White Earth Mission Trip: Participant Release Form 2017
White Earth Mission Trip: July 29 - August 5, 2017
Lodging is at:
Youth Hostel at Itasca State Park (3:40 minute drive)
27910 Forest Lane, Park Rapids
Please fill out one form for every participant.
Grade in Fall of 2017
Parent / Guardian Name
Please list all numbers, in order that should be called and indicate which are land line's or cell phones.
Please list all addresses and the name that each belongs to.
Please list name(s) and phone number(s)
Best Way to Contact / Communicate With Your Family
White Earth Mission Trip is from July 29 to August 5, inclusive. Please check all transportation needed.
July 29 Only (Family will provide transportation home)
August 5 Only (Family will provide transportation to Youth Hostel at Itasca State Park)
Please list name of medication and prescription directions.
Other Needs That Are Important For Us To Know
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