Maize Quest 2019
 
Maize Quest 2019
Join us on Friday, October 18 to get LOST! We plan to leave for Maize Quest by 4:45PM so please be have your student at the church by 4:30PM. Eat supper at home and bring a flashlight or headlamp and money for the snackbar. We will return to VVAC by 10:00PM. The last day to sign up is October 16.
Youth 1 Name  * 
Youth 1: Special Health Concerns
Youth 2 Name
Youth 2: Special Health Concerns
Youth 3 Name
Youth 3: Special Health Concerns
Address  * 
City  * 
I give permission for my son/daughter to attend the Maize Quest event on October 18. I also give permission for him/her to receive first aid/medical care should an emergency arise and I expect to be notified as soon as possible. I hereby release VVAC, its staff and leaders, from responsibility and liability from any injury or illness that my child may sustain during the entirety of this event. (Please type in your name to note that you understand this release.)  * 
Parent’s Names  * 
Emergency contact number  * 
Medical Information (insurance, allergies, conditions, etc.) * 
Your Email Address  * 
 
 
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