DESTINY FAMILY CHURCH

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I give permission for my child,. , to meet at the Blue Springs with. RAGE, the youth ministry of Impact Family Church, T
IMPACT FAMILY CHURCH Permission Slip ... Blue Springs

I give permission for my child, ________________________________, to meet at the Blue Springs with RAGE, the youth ministry of Impact Family Church, Thursday, June 28, 2018. I understand that there are certain inherent risks involved in participating in this outing, as with any outing. I also understand it is my responsibility as parent / guardian to provide my child with any necessary swimming aids they may need. My child may participate in all activities associated with this outing. My child’s swimming ability is:

NONE

POOR

FAIR

GOOD

(please circle one)

In the event I would need to be reached during the outing, I will be at one of the following number(s): ______________________ Home

______________________ Work

____________________________________ Signature

______________________ Other Number

________________ Date