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Permission Form

Must be Filled out by a Parent/Guardian

Friday September 11 Outing

(Family Movie Night at the Wakulchyks House)

Please fill out all the following information in order for us to legally be allowed to leave the Church Premises with your Youth.

Youths First Name

Last Name

Parent/Guardian Full Name

Emergency Contact Number

Youths Home Address

I understand that all precautions will be in place to ensure the health and safety of the above named Youth but do not hold Lakeview Gospel Centre, it's volunteers or staff legally liable in the case that an unforseen accident could happen.

Thanks for submitting! Parents please contact Ernie if you have any Questions

Lakeview Gospel Centre

4801 54 Street

Bonnyville, AB

T9N 1Z1

Church Office Hours:

Mon - Fri: 9am - 3pm

Sunday Services : 10am

©2020 by Lakeview Gospel Centre