What: Where: Date/Time:

Amplify goes Rock Climbing

City Summit Rock Climbing Centre 2/26 Harris Road, Malaga 6090 Friday, 31 May 2013 Drop off at church (1 Thyme Court, Mirrabooka 6061) at 6.30 pm and pick up from church at 10.30pm

Cost: Contacts:

$20 (includes entry fee, harness hire, food & drinks) Steve 0411 371 197 Cathi 0425 259 708

What to wear: Sporting attire (tights are good for girls) Sport shoes/sneakers No dresses or skirts please girls!
Please return your permission slip to Helen or Mason ASAP! _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I __________________________________________ (name of parent/guardian) give permission for my son/daughter _____________________________________ to attend Amplifys rock climbing event. I understand that there will be transport provided to and from the venue via leaders and that my child will be supervised and instructed by professionals who will demonstrate safe rock climbing practices. I accept that the leaders and instructors will take appropriate disciplinary action necessary to ensure the safety, wellbeing and successful conduct of the students who participate in the activities associated with the activity. In the event of any illness or accident, I authorize the obtaining of such medical assistance as my child may require. I accept all medical treatment, blood transfusions and/or anaesthetic risks involved and the responsibility for payment of any expenses thus incurred. Signed:____________________________________ Date: _____/___/_____