MOUNT TABOR CHRISTIAN CHURCH
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2021-2022 PARENTAL CONSENT & LIABILITY FORM
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Parent(s) or Legal Guardian(s) Names
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Last
Name of student(s) attending trip
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MEDICAL INFORMATION & CONSENT
Parent(s) or Guardian(s) please sign name to give the the right to Mount Tabor Christian Church to authorize emergency medical treatment for my son or daughter
*
Health insurance provider for student(s)
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ID or Policy Number
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Parent(s) or Guardian(s) Signature
*
EMERGENCY CONTACT
Name
*
First
Last
Phone Number
*
Name
*
First
Last
Phone Number
*
Allergies and/or Medicines taken on the trip
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HOME
ABOUT US
STAFF & ELDERS
>
SERMONS
>
2020 Sermons
SERMON ARCHIVE
WHAT WE BELIEVE
CONTACT US
CONNECT
CHILDREN
STUDENTS
ADULTS
Care
SERVE
NEXT STEPS
EVENTS
GIVE