2017 Rooted Retreat Permission Form
Trip Dates: October 6 - October 8
Location: Camp Glisson Who: Middle School and High School Students
Cost: $135 per student
Payment is due by Tuesday, September 12.
Student Name(s):
*
Parent Name:
*
Street Address:
*
City:
*
State:
*
Your Email Address
*
Zip Code:
*
Phone Number:
*
I give my permission to SUMC to seek assistance for my son(s) or daughter(s) in the event of an emergency.
*
Please Select
Yes
No
I give my permission for my son(s) or daughter(s) to attend the Rooted Retreat.
*
Please Select
Yes
No
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