JOURNEY MEDICAL RELEASE/PERMISSION SLIP FOR DYE WARS 2011

July 29, 2011 4:30-7pm $10 

Please complete the form below to register:

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Medical Information
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Please read and enter your name below as your digital signature: I/We, the undersigned parent(s)/legal guardian(s) of the above minor (s), do hereby release and agree to hold harmless Journey Community Church and any related member, employee, sponsor or agent from any liability, injury, damages, loss, accidents, delay, or irregularity related to the listed minor’s planned participation in Journey Community Church sponsored events occurring on July 29, 2011. This release covers all rights and actions of every kind, nature, and description, which the minor and his/her parent(s)/legal guardian(s) ever had, now has, or but for the release, may have.
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