canoe trip — Hope Fellowship Church

MEMORIAL DAY CANOE TRIP

After registration, please look out for a text from Jared Shingleton with more information.

Name

First Name

Last Name

Phone

(###)

###

####

Have you ever been canoeing before?

Please select an option that best describes your swimming ability

Parents, please read and sign

I, the parent/legal guardian, give permission for my child to attend Hope Students Canoe with Hope Fellowship Church. This medical release authorizes any emergency medical or surgical treatment for my child by qualified physician while under the supervision of any adult of the Hope Student ministry team. I also give permission for my child to be counseled by any Hope Student team member and understand the law requires them to report anything a student says that has harmed or could cause harm to the student or others. This is a church related activity and I release Hope Fellowship Church from any liability. I assume full responsibility for any medical or legal cost, and will provide transportation should it be necessary for medical or disciplinary reasons. Agreement to this medical release, constitutes a your name printed below.