Youth Group Permission Slip: BIG SPLASH 2002

Student Name: 	______________________________________________________

Address: 	______________________________________________________

City:		__________________ State: _______ Zip: _______________

Phone:		__________________ Grade: _______



I ________________________ the legal parent or guardian of _______________________ 
do hereby release Youth For Christ, Wild Waves, youth leaders and May Valley 
Alliance Church from any and all liability in case of accident or illness 
while attending Big Splash, or while traveling to or from the event.  

I also authorize any medical care deemed necessary by an accredited nurse or 
physician while attending Big Splash.  I also understand photographs and video 
may be taken and used for promotional purposes and are the property of West 
Puget Sound Youth For Christ.


Parent/Guardian Signature:

__________________________________


Insurance Company:			Policy #

__________________________________      ___________________

Big Splash is Saturday---May 18th

• We will meet at the church at 9:00 am.
• We will return around 10:30pm.
• Bring spending money for lunch or pack a sack lunch. A sack dinner is strongly suggested for your evening meal because the snack bar closes at 4:30 PM.
• Registration is $22. (Make checks payable to May Valley Alliance Church).
• Deadline for registration is April 24, 2002. Your registration money and permission slip must be to Brian by April 24, 2002.
• Bring warm clothes for evening.
• Girls, please remember: Only modest, one piece swimming suits.