1. WAIVER
I hereby allow my child _______________________ to join the BLD
Diocese of Phoenix outreach sponsored Youth Life In The Spirit Seminar #3
to be held on November 6-8, 2009 at the Lake Pleasant Desert Outdoor
Center in Peoria, Arizona. In doing so, I hereby release BLD Diocese of
Phoenix Outreach from any liability due to any unforeseeable circumstance
that may arise and which is beyond the control of those who have been given
the responsibility to oversee the scheduled activities during the weekend
retreat.
In case my child needs medical attention, we authorize the BLD medical
personnel on duty to dispense medication.
Signed by: Print Name:
___________________ ____________________
(Parent or Guardian)
Please list if there are any allergic reactions to food or medication. If none,
please write N/A on the space provided below:
__________________________________________________________
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