Rafting Outing in Harper’s Ferry

Sat, Apr 27 @ 8:30am | Rafting Trip in Harper’s Ferry
Date: April 27
Time: Meet at church at 8:30am

Child 1 Full Name

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6th grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Other

Child 2 Full Name

Child's Birthdate (Month/Date/Year)

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6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Other

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Address

Parent/Guardian 1 Name

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Parent/Guardian 1 Phone

Parent/Guardian 2 Name

Parent/Guardian 2 Email

Parent/Guardian 2 Phone

Emergency Contact: Please list first name, last name, and phone number for someone besides the listed parents or guardians.

Do you give permission to Neelsville Church to use photos of your child for website, social media, or other promotional use? Please note that we will never post children's names to respect privacy.

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By typing my first and last name and today's date, I hereby release Neelsville Church from liability and hold the church and its representatives harmless for the duration of the rafting outing.

Things to Bring - water shoes or old sneakers but something that can be firmly fixed on people’s feet and no open toed shoes. Change of clothes. Money for lunch.

Description

Sat, Apr 27 @ 8:30am

Rafting Trip in Harper’s Ferry
Date: April 27
Time: Meet at church at 8:30am

Rafting Outing in Harper’s Ferry

Description

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