MS Firepits and Friends

Student Name

This address will receive a confirmation email

Phone

Number Attending

Click here to read the Activity Consent and Liability agreement.

By selecting yes below I, the parent and/or guardian, am verifying that I have read and agree to the Activity Consent and Liability Release, found above.

Yes No

By selecting yes below, I am verifying I have submitted an accurate Yearly Medical Form for the current Ministry Year.

Yes No

If you answered "No" to this question, you are required to fill out a Yearly Medical Form prior to attending this event. This form is available on our website (MCC Students Website). Please reach out to the Student Pastor if you have questions or concerns.

If transportation is necessary for this event, I authorize MCC to transport my child, either in a Ministry vehicle or in a private vehicle driven by a MCC staff member or volunteer.

Yes No

If you answered No to any of the above questions, please explain below:

Parent/Guardian Signature. By typing my name below I am electronically signing this document. MCC will treat this like a physical handwritten signature on a paper form.

Parent/Guardian Signature

Description

September 19th | 6:30-8:30 pm

MCC middle schoolers, join us for an evening of hanging around the campfire and playing yard games. We will be at Josiah's parent's house (1756 Nolt Rd, Mount Joy) from 6:30-8:30 pm on Saturday, September 19th. Please make sure to RSVP by September 16th to make sure we have enough s'mores and snacks for the event.

MS Firepits and Friends

Description

Please Fix the Following