2014 Mount Calvary Youth Summer Events Registration Form
For all youth who have finished 8
th grade 12 th grade Day at the Dells Saturday, June 21 DEPARTURE: Saturday, June 21 8:30am from Mt Calvary RETURN: To Mt Calvary 10:30pm COST: $20.00 (includes upgrade to Theme Park, dinner, and transportation) REGISTRATION DUE: Wednesday, June 18 A Liability Release and Emergency Medical Form will need to be submitted. Donts forget: Towel, Change of clothes for ride home, some cover-up to wear in to the park Lifest: Party with a Purpose July 10-13 DEPARTURE: Thursday, July 10 10:00am from Mt. Calvary RETURN: Sunday, July 13 3:00pm to Mt Calvary COST: $50.00 REGISTRATION DUE: Sunday, July 6 (LAST DAY TO ORDER TICKETS) A What to Bring List will be available A Liability Release and Emergency Medical Form will need to be submitted 2014 Mount Calvary Youth Summer Events Registration Form PLEASE PRINT CLEARLY CUT ON THE DASHES AND RETURN TO MOLLY BY THE DUE DATES Please register me for: (Check all that apply) Day at the Dells (Include $20.00) Lifest (Include $50.00) Students Name _______________________________________ Birthdate _____________ School ___________ Address _____________________________________________ City _____________________ Zip _________ Home Phone (____)_____________ Students Cell (____)_____________ Parent Cell (____)_______________ We, the parents or legal guardians, have also completed and returned the Liability Release and Medical Consent Form and give permission and support for our son/daughter to attend the event(s) checked above. We authorize any medical attention needed for our child. Print Name __________________________ Signature ______________________________ Date __________