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Sr High Overnight Great Escape Weekend @Niagara Falls


Activity: OVERNIGHT GREAT ESCAPE @ (HOWARD JOHNSON PLAZA NIAGARA FALLS)

   

Date of Activity: APRIL 7TH – 8TH, 2023

   

Details of the Activity: Students check in at Kennedy Road Tabernacle a 9:45 A.M. at the FMC (Located at 141 Kennedy Road N, Brampton). Students will room in gender-specific rooms. All leaders are trained as per our child protection policy and have passed a vulnerable sector check. We'll be engaging in sessions of worship & student focused messages that will be impactful to their spiritual health. It would be a phenomenal opportunity for the strengthening of our youth's community at the church. I believe this is a great opportunity for us to get more deeper and I believe it will be impactful to our faith walk. We will definitely be exploring near by attractions that are open and available including an intimate heart to heart convos by the falls.. Students has to bring funds for Dinner, Snacks for those who like snacking over night lol also need to bring funds for Breakfast, Lunch and activities that we do outside of diving into scripture and the presence of God together on this trip:. Parents/Guardians to pick up student(s) between 7:30 and 8:00PM if sooner we will communicate on April 8th. Pick up for students will be the breeze way by Kiddies Kollege. Thank you

Cost: $25 PER PERSON

Dear Parent:

We are planning an activity as part of our programming that requires your permission prior to participation. We have provided you the details of the activity and request that you complete and sign the permission form. The safety of your child is our primary concern. Precautions will be taken for their wellbeing and protection.



Student Participating
Minor
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First Student Name

First Name*

Last Name*

Phone*
First Student Age Acknowledgment*
First Student Date of Birth*
I certify that I am 18 years of age or older
First Student Information

Health Card Number *

Doctor's Name & Phone Number *
Does the participant have any allergies?*
No
Yes
Will the participant be bringing medication with them?*
No
Yes
Photo/Video Consent *
Internal Use Only
External Use Only
Both Internal & External Use.
First Student Signature*
Student Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Health Card Number *

Doctor's Name & Phone Number *
Does the participant have any allergies?*
No
Yes
Will the participant be bringing medication with them?*
No
Yes
Photo/Video Consent *
Internal Use Only
External Use Only
Both Internal & External Use.
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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