PARENTGUARDIAN PERMISSION FORM

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					PARENT/GUARDIAN PERMISSION FORM

1. I, the undersigned parent/legal guardian of ___________________________________ do
hereby give my permission for my daughter to attend Girls Camp at New Hope Retreat Center
located at Holt, Missouri.

2. My daughter also has permission to swim in the pool on the campgrounds. YES    NO
                                                                         (Circle One)

3. __________________________________________________ has my permission to
           (Name of person)                  pick my daughter up from camp.

4. I give my permission for Blue River-Kansas City Baptist Association or any of its contractors
permission to photograph my child for the purpose of future association promotions.

Date:___________________            __________________________________________
                                               Signature of Parent or Guardian

Make sure you have all of the following before mailing:
   Registration form filled out completely
   Permission signature
   Completed medical form and signature
   Check/Money Order for Camp Fee

Our insurance company requires these signed permission forms to be on file with New Hope and
Blue River-Kansas City Baptist Association camp staff.