Permission Slip

Kayaking / MTB Expedition

Stillwater

September 25th 9:00AM - 9:00PM

7200 S. Walker

OKC, OK 73139

(405) 634-8540

www.hojc.org

 

 Boy's Name:

 Address:

 City:

 St:

 Zip:

 Emergency Contact:

 Relation:

 Phone:

 Cell Phone/pager:

 

I (we) grant permission for ___________________ to attend the House of Joy Church Kayaking and Mountain Bike trip to Stillwater on the dates listed above. This event will take place near Lake Carl Blackwell and Lake McMurtry Oklahoma. I (we) understand that in the event that medical treatment is required, every effort will be made to contact me. However, if I cannot be reached, I give permission to the Royal Rangers staff to secure medical services to provide the care necessary for my child's well being.  

I (we), as Parent(s), understand that the National, Regional, Conference, or Outpost Royal Rangers staff while striving to insure a wholesome, safe, and closely supervised environment for boys in its care, cannot be liable for any unforeseen and/or unforeseeable accident or injury which may occur during the course of any Ranger activity.

Responsible leaders, persons and acting agents transporting on behalf of the Rangers Ministry of the Pentecostal Holiness Church, assume no personal liability in case of accident or sickness.

 

Signature of Parent/Guardian: ___________________________ Date: ______________

Please list any medical and food allergies, medications being taken, medical problems, or other pertinent information on the backside of this form.

All Expedition Rangers please meet at HOJC at the time listed above.
Cost: Bring Lunch and Dinner Money. You may use your activity accounts to pay for this trip.