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BOuLDER Youth Fellowship Permission Slip

Parent Name *
Parent Name
Emergency Contact Phone *
Emergency Contact Phone
I/We understand all reasonable safety precautions will be taken at all times by Living Stones Christian Church and its agents during the events and activities. I/We authorize any treatment by an accredited hospital and/or physician deemed necessary for the subject of the release in case of an emergency. I/We underestand the possibility of unforeseen hazards and know the inherent possibility of risk. I/We agree not to hold Living Stones Christian Church, its leaders, employees, or volunteer staff liable for damages, losses, diseases, or injuries incurred by the subject of this form. *