I (we) grant permission for ___________________ to attend the December events on the dates listed above. This year we will go play paintball on December 8, Go Shopping at crossroads mall on December 15, and Ice Skating on December 22. Each event we will leave from HOJC at 6:30p and return by 9:00p.  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 Gravity staff to secure medical services to provide the care necessary for my child's well being.  

I (we), as Parent(s), understand that the Gravity 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 Gravity activity.

Responsible leaders, persons and acting agents transporting on behalf of the Gravity Youth Ministry of the House of Joy 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 those leaving for the trip please meet at HOJC at the time listed above.
Arrange for you son(s)/daughter to be picked up at the time listed above.