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Manarang Division

FOURSQUARE YOUTH DEPARTMENT

“UNSTOPPABLE”
FCM Camp 2021
PARENTS/GUARDIAN CONSENT

TO WHOM IT MAY CONCERN:

This is to certify that I/we allow my/our son/daughter _______________________________________


to attend the Annual Summer Youth Camp of Foursquare Youth NWLD, with the theme: “LEGACY” on May
14-16,2019 in the Shalom Campsite, Binsang, Pasuquin, Ilocos Norte.

I/We, the parents/guardians named below undertake and agree to hold blameless from and against any
loss, damage or injury caused by the participant as a result of being a part of the activities. Thus, the CAMP
STAFF & CREW are held liable to any damages or injuries during the event and to provide the necessary
medical attention as the need arises. Furthermore, I shall not hold the CAMP STAFF & CREW responsible to
any untoward incident that may happen if the participant leaves the camp premises without any permission to
his/her pastor or any of the CAMP STAFF & CREW.

________________________________________________
Parent/Guardian (Signature above printed name)
Contact No: _____________

Northwest Luzon District


FOURSQUARE YOUTH DEPARTMENT

“THE NOW GENERATION”


Youth Camp 2019
PARENTS/GUARDIAN CONSENT

TO WHOM IT MAY CONCERN:

This is to certify that I/we allow my/our son/daughter _______________________________________


to attend the Annual Summer Youth Camp of Foursquare Youth NWLD, with the theme: “THE NOW
GENERATION” on May 07-09,2019 in the Shalom Campsite, Binsang, Pasuquin, Ilocos Norte.

I/We, the parents/guardians named below undertake and agree to hold blameless from and against any
loss, damage or injury caused by the participant as a result of being a part of the activities. Thus, the CAMP
STAFF & CREW are held liable to any damages or injuries during the event and to provide the necessary
medical attention as the need arises. Furthermore, I shall not hold the CAMP STAFF & CREW responsible to
any untoward incident that may happen if the participant leaves the camp premises without any permission to
his/her PASTOR or any of the CAMP STAFF & CREW.

________________________________________________
Parent/Guardian (Signature above printed name)
Contact No: _____________

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