Common Contracts
1 similar Health and Safety Agreement contracts
Metigoshe Ministries Youth Retreat Registration and Health and Safety AgreementHealth and Safety Agreement • January 11th, 2024
YOUTH INFORMATION (ONE FORM FOR EACH PERSON ATTENDING) First and Last Name Mailing Address City, State, Zip Best Phone Number to Reach You Date of Birth Gender: Grade Entering Next Fall: PARENT/GUARDIAN AND EMERGENCY CONTACT INFO Parent/Guardian(s) First and Last Name(s)Complete only if under 18 Relationship to Camper Mailing Address City, State, Zip Home Phone Cell Phone E-mail Address Emergency Contact Name if Parent/Guardian unavailable Relationship to Camper Phone of Emergency Contact HEALTH HISTORY AND MEDICAL INFORMATION Allergies: Food/Medications/Insects/Other Dietary Concerns/Restrictions Other Health Issues HEALTH AND SAFETY AGREEMENTAlthough the fullest safety and health precautions are taken, Metigoshe Ministries does not assume responsibility for any illness or accident. I have read all of the registration materials, policies, guidelines and details provided by Metigoshe Ministries and agree to abide by the requirements set forth therein. I
