Beach Volleyball Night (November 25, 2011)

Parent/Guardian Permission Form

To Parents/Guardian: The purpose of this form is to inform you about the excursion and to seek your permission for your child to participate. This evening will be a night of fun and relaxation and will be a time for Gilead to get to know each other better. We will be going to Activity: Drop-Off Time: Pick-Up Time: Beach Volleyball @ North Beach Volleyball, 74 Railside Road, North York, ON. 7:30 PM @ North Beach Volleyball 9:30 PM @ North Beach Volleyball

Requirements for Participants Food/Snacks: No (there is a snack bar at the site) Money: Yes Other: None Financial Arrangements Total Cost per Person: $10 Contact Information Counselors/Supervisor(s): Contact Information: Clarence Yau, Ken Chau 416-223-3121 ext.34 or 416-901-6220 (Clarence), 416-418-3860 (Ken)

Please do not hesitate to contact the counselors about any comments or concerns you might have regarding the program. We will be happy to assist you anyway and will try our best to address your concerns. Please bring the following completed form on the next page to the program otherwise you will not be able to participate.

BEACH VOLLEYBALL (NOVEMBER 25, 2011) WAIVER FORM

I give permission for ____________________________________________ to participate in this event. In addition, the undersigned as a parent, a guardian, or individuals 18 or older hereby: Release the North York Chinese Baptist Church (NYCBC) and its representatives from all liability for damages in respect of accident, bodily injury, or loss arising from the participation of my child (I) in this Gideon event, and authorize NYCBC's Youth leaders to consent to medical treatment for the above named child (I) by any qualified medical practitioner, as may be necessary in the event of an emergency. Please note: Each child must cooperate with the Youth Leadership Team who are in charge of supervision. Any misbehavior may decline participation to future NYCBC Youth Ministry events. Name of Parent/Guardian:
(please print name)

Signature of Parent/Guardian:
(or student, if 18 years old or older) NOTE: For students 18 years old or older, it is strongly recommended that your parent/guardian also sign this form to ensure the parent/guardian is aware of all the information pertaining to this program.

Signed On (Todays Date):

HEALTH INFORMATION AND EMERGENCY CONTACT INFORMATION

Health Card No.: Emergency Contact (name and phone): Please list any medical conditions that we should be aware of: Version:

Should it become necessary for my child to have medical care, I hereby give the counselors permission to use her/his best judgment in obtaining the best of such service for my child. If your child becomes ill during trip, we will do our utmost to contact you as soon as possible. Signature of Parent/Guardian:
(or student, if 18 years old or older)