PERMISSION FORM

					                                                       PERMISSION FORM
                 QUEST ALL NIGHT CHRISTMAS PARTY: Friday, December 21, 6:30 PM-7 AM
(Please print)
Name of Youth __________________________________________ Date of Birth ________________________________

Home Address _______________________________________________ City __________________________________

State _______________          Zip ___________________________ Home Phone # (                       ) ___________________________


Activity Approval
          Listed below are some of the activities we have planned to offer to the youth during the trip. Place your INITIALS next to
specific activities listed below to indicate your approval of your child’s participation.

_____ICE SKATING at Lynnwood Ice Arena
_____TRAVEL to and from Ice Arena
_____BBQ dinner, games, movies and video games, plus a gift exchange at Mountain View Presbyterian Church through the night


Rules of Behavior Expected of Everyone Attending a Quest Event:
          No drugs, alcohol, or tobacco permitted.
          Remain with at least one other person from our group at all times
          Respect authority of Quest adult leaders/chaperones


Parent and Student Release Statement:
             As parent/legal guardian of the minor listed above, I have reviewed the information about the youth ministry activity/event and give my
permission for the subject of this release to be involved in the overall activities and in the specific activities that I have initialed above.
             I/We have reviewed the rules of the activity and agree that the subject of this release will abide by them. I/We also acknowledge that if the
subject of the release has to return home early for discipline violations, it will be at my/our expense.
             I/We consent to the use of any video images, photographs, audio recordings, or any other visual or audio reproduction that may be taken of the
subject of this release during the activity/event to be used, distributed, or shown at Mt. View Presbyterian Church sees fit.
             I/We understand all reasonable safety precautions will be taken at all times by Mt. View Presbyterian Church and its agents during the events and
activities. I/We understand the possibility of unforeseen hazards and know the inherent possibility of risk. I/We agree not to hold Mt. View Presbyterian
Church, its leaders, employees, and volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form.


Parent/Guardian Signature _______________________________________________________Date _______________________

Student Signature ______________________________________________________________ Date ________________________


Description of Activity/Event: (cut on dotted line and save for emergency contact information)
         We will meet at the church and carpool to the Lynnwood Ice Arena at 6:30 PM. We will return to the church by 11:30 PM
and will be served a BBQ dinner. We will have a gift exchange (something new, between $5-10) and play games, video games and
watch movies. Breakfast will be served at 6:30 AM and all students should be picked up by 7 AM. We would love to have parent
volunteers to drive, to chaperone and to just hang out. The cost is $8.50 to rent skates and skate. Please bring a snack and drinks to
share. You can reach Jason Kreutz at 425.220.2128 at any time during the event. Once students are back at Mountain View, they will
be allowed to leave at 7 AM.

				
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