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2014 Spring Camping Trip Mission

Spring Camping Trip Mission
 
Parent Permission Slip
 
 
I. Acitvity Info
Date:                Friday March 21 – Saturday March 22, 2014
Activity:            Spring Camping Trip
Time:                Meet at Church at 1:00pm
                        Return on Saturday at 1:00pm
Where:          Pyramid Lake Camp Ground
Bring:            1) Sleeping Bag
                       2) Toiletries (Toothbrush, etc)
                       3) Flashlight
                       4) Tent (If you Have One)
Cost:                $25.00 per student (please contact Neville Hong JDSN for more dedails)
Contact:            Neville Hong JDSN (213) 273-5763
 
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I. Application Form
1.      Full Name:___________________________________________________
2.      Parents Name:________________________________________________
3.      Age/ Grade:___________/____________
4.      Address:____________________________________________________
                     ____________________________________________________
5.  Phone Number/Contact/  Name/Relation:__________________________
                                                             ________________________________
                                                             ________________________________
                                                             ________________________________
 
II. Liability form
I here by consent to having my son and/or daughter,______________________,
attend and participate in the 3/21-3/22/2014 Spring Camping Trip @ Pyramid Lake.
I have read the foregoing information regarding the event and have no objections.
 
I understand that my child is responsible for any personal belongings he or she may bring to the event and for his or her personal safety during the trip.  Nevertheless, I grant to those teachers who will be attending and participating in the event, the authority to take any and all reasonable action necessary to ensure the well-being and safety of my child.
 
I understand that I am responsible for dropping off my child before the event and picking up my child after the event from the facilities of Antioch Presbyterian Church at 2720 Montrose Ave. Montrose, CA 91020.
 
Sign X__________________________________
Date X__________________________________
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