24hrcourse

Parent/Guardian Permission & Medical Release Form Date of event: August 7th & 8th Event & destination: 24 Hour Training Course Activities include but are not limited traveling in the passenger van, & ultimate frisbee Please print legibly. Student Name: ___________________________________Phone #: ______________________ Address: _____________________________City:_______________ State: _____ Zip: _________ Sex: _____ Age: ____ Grade: ____ Father/Guardian/Custodian Name: ________________________________________________ Home #: ___________________________ Work #: ____________ Cell #: __________________ Mother/Guardian/Custodian Name: ______________________________________________ Home #: ____________ Work #: ______________________ Cell #: _______________________ Insurance and Medical Information: Insurance Company: ______________________________ Phone #: _____________________ Policy #: ________________________________________ Group #: _______________________________________ Medications being taken: __________________________________________________________________ Food or Medication Allergies: ____________________________________________________________________________ ALL MEDICATIONS MUST BE CLEARLY LABELED WITH STUDENT’S NAME & INSTRUCTIONS, AND TURNED IN TO THE YOUTH PASTOR. I have read this form and I give permission for my son/daughter to participate in the activities described above. My child has my permission to engage in all activities except as noted by me. The information on this registration form is correct as far as I know. In the event that I cannot be reached in an emergency, I hereby give permission for the physician selected by the Youth Pastor of Vision Baptist Church or his designate to hospitalize, secure proper treatment for, and to order injection, anesthesia, or surgery for my child named on this registration. In consideration of Vision Baptist Church , I, for myself or for the minor child named above, forever waive, release and discharge Vision Baptist Church and its staff and volunteers, from any/all injuries, claims, disputes, liabilities or actions resulting from Vision Baptist Church providing services for me and for my benefit regardless of location. I attest and verify that I have full knowledge of the risks and dangers involved; that I assume such risks and that I will assume and pay my own medical and emergency expenses in the event of an accident, illness or other incapacity regardless of whether I have authorized such expenses. I HAVE READ THIS WAIVER AND RELEASE CAREFULLY AND UNDERSTAND IT. _______________________________________________ _____________________________ Signature of Parent/Guardian if participant is under 18 yrs. of age Relationship Date PLEASE COMPLETE AND RETURN THIS FORM TO VBC’s CHURCH OFFICE ASAP 1235 Old Alpharetta Road Alpharetta, GA 30005 770.456.5881 For Office Use Only Check #: _____ Amount: ______ Date: ______ Initials: _____

training course

Preparation We will spend 24 hours helping training you for the upcoming school year. With lessons talking about how to be make a difference at your school. With games helping you get back into gear for a great school year.

Friday, August 7th

Starts at the church at 1:00 pm Eat lunch before you come.

Saturday, August 8th

Ends at the church at 1:00 pm

TR A IN IN G C OU R S E

Back to School Training Course Going back to school can bring some new challenges. We are going to help you get equipped spiritually, mentally, and physically for those challenges.

24 hours of training for $24 dollars discounts for families with 2 or more students

who can attend everyone going into middle school or high school We will have separate sessions for each

contact info Students of Vision office: 770.456.5881 Trent Cornwell / Student Pastor cell: 770.853.8148

Training in Ultimate Frisbee You will receive training in the art of ultimate frisbee. An ancient sport that will help keep you in physical shape for the school year. COURSES: WHY PIZZA IS GOOD FOOD BEFORE RULES, REGULATIONS, & TECHNIQUES

Training on how to find new friends Every school year it seems that you find new friends> we are going to give training in what to look for in a new friend. COURSES: WHAT TO WATCH OUT FOR PROPER USE OF SOCIAL MEDIA

Training in how to be a balanced Christian student. We are going to show you how to prioritize your time to leave the time needed for God, your family, and your studies. COURSES: HOW TO MAKE A SCHEDULE & KEEP IT HOW TO PRIORITIZE YOUR TIME