Permission Form

Permission Form
Victory Christian Youth Camp 2007
Bandon, Co. Cork
A Ministry of Bible Baptist Church, Ballincollig, Co. Cork

(A PDF Version of this page is available here)

(Please print this out and fill-out for your children to come)

Please initial each of the following boxes provided. If you do not agree to all three conditions, your child may not be allowed to at-tend this Camp (must be filled-out by the Parent/Gardian):

[__] My child(ren) have my permission to attend the 2007 Youth Camp being held at the Faith Mission Camp, Bandon, Co. Cork.

[__] The Camp Director (Craig Ledbetter, of 29 Westcourt Heights, Ballincollig, Cork), has my permission to take my child(ren) to the local surgery, or to the Cork University Hospital if the need arises. If anything should happen that requires medical attention, the Camp will make every attempt to contact you.

[__] I understand that if the camp has any major problem with my children that I will take full responsibility and if called to come pick them up, will do so.

My Name and Address My relationship to the children

____________________________ ______________________________

____________________________

My Phone Number: _____________________ Mobile: __________________

Any Additional Contact Numbers: ___________________________________

My Children’s Names Age (7-17) Birth-date

____________________________ ____________ ______________

Does your child(ren) have any medical conditions that we should know about?

_______________________________________________________________

I hereby acknowledge that the above information is true.

Your Signature Date