PERMISSION SLIP FOR COMMUNITY OUTREACH
I give ________________________________ permission to participate in the
STEP UP! Youth Mobilization Blitz on Sabbath, September, 29, 2007. This will
involve my child/niece/nephew/grandchild traveling in a motor vehicle from
Community Praise Center Church at (select one of the following trip options)
9:00 AM to return at 2:45 P.M. in the Community Praise Center Church
parking lot
10:15 AM to return at 2:45 P.M. in the Community Praise Center Church
parking lot
My child/niece/nephew/grandchild will be
(1) Participating in the STEP UP! Youth Mobilization Blitz to be held at:
Howard University Hospital, Main Auditorium, 2041 Georgia Ave, NW, WDC
I agree to hold harmless the Earliteen Sabbath School teachers, Adult chaperones,
Community Praise Center Church, Potomac Conference, Columbia Union
Conference, or the General Conference of Seventh-day Adventists for any
accidents, injuries or unforeseen harm.
__________________________ ________________________
___________
Parent/Guardian Emergency Contact Number
Date
Contact Numbers
Pastor Hayden 301-237-7925
Coach Edward Wilson II 240-603-7595