Youth Mission Trip - Registration & Waiver 2024

July 21 - 28, 2024 | Once both the registration and deposit are submitted, a spot will be reserved for your student, subject to availability (limited to 56 spots for the trip).

TODAY'S DEPOSIT
$350. The deposit is refundable until Wednesday, May 1, 2024

FINAL PAYMENT DUE
$350 balance due on Wednesday, May 1, 2024. An invoice for the remaining balance will be sent to you via email.

This information will be kept on file for the 2023-2024 school year. Please notify us if any of your information changes.  For questions, email Hannah Knapp at: Hannah@foxpointchurch.org
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I, the Parent/Guardian of__________. (Enter CHILD'S FIRST NAME BELOW)
 
 
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ROOMING BUDDY
Does your child have a preference of a Rooming Buddy? We can't necessarily guarantee they'll end up together, but it is helpful knowing. Enter their first and last name below, or skip to the next question. 
 
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Approval

Hereby give my approval to his/her participation in any and all activities of Fox Point Lutheran Church during the period of September 1, 2023 through August 31, 2024. I assume all risks and hazards incidental to such participation, including transportation to and from activities. I do hereby waive, release, absolve, and indemnify the church, its servants, and participants, as well as transporting the above named child to and from related activities, for any injury or action resulting in a medical claim. I also give the physician/hospital selected by the program supervisor permission to secure proper treatment for my child, should it become necessary. I also assume responsibility of all medical expenses incurred. Should it be necessary for my child to return home due to medical reasons or otherwise, the undersigned shall assume all transportation costs.
Approval Signature

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Guardians & Emergency Contact

 
 
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Medical Waiver

Insurance

 
 
 
 
 
 
 
 
 
 
Payment


TODAY'S DEPOSIT
$350; refundable until Wednesday, May 1, 2024

FINAL PAYMENT
Due by May 1, 2024. (An invoice for the remaining $350 balance will be sent to you via email.)


 
 
 
 
 
 

Description

July 21 - 28, 2024
Once both the registration and deposit are submitted, a spot will be reserved for your student, subject to availability (limited to 56 spots for the trip).

TODAY'S DEPOSIT
$350. The deposit is refundable until Wednesday, May 1, 2024

FINAL PAYMENT DUE
$350 balance due on Wednesday, May 1, 2024. An invoice for the remaining balance will be sent to you via email.

This information will be kept on file for the 2023-2024 school year. Please notify us if any of your information changes.  For questions, email Hannah Knapp at: Hannah@foxpointchurch.org