PARENT GUARDIAN CONSENT FORM by xoa24846

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									                                                    HS Tic-Tac
Date:              January 10, 2010                                Begin: 7:15 p.m.                      End: 9:00 p.m.
                          NOTE: The activity begins at Church and ends at the TBD!

Destination:       TBD                                                                  Participants must turn in this
Activities:        Play Games…Have Fun                                                       completed Consent Form.

Cost:              $0                                                                       There will be no exceptions!

Transportation:         We will ride in the church van and leader-driven vehicles. Parents please have your
                        child picked up no later than 9:15 pm at TBD.

Bring:              Yourself and a friend! Tic-Tac = Teens in Church Together after Church

                          Pastor Jon can be reached at 408-307-0492 (cell) or

                                           408-395-6144 (church office)
                                         Return bottom portion; keep top for your records




                                                   CONSENT FORM
         I,                                      , hereby give consent for                                        to attend

and participate in First Baptist Community Church’s HS Tic-Tac offered January 10, 2010.



              (SIGNATURE OF PARENT    OR GUARDIAN)                    Parent or Guardians Phone Number During Activity

______________________________________

         (Signature of Attendee if over 18)




Additional Information:




My child is to be excluded from the following activities:

         ___________________________________

								
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