Cheyenne Brethren Church
Celebrating New Life in Christ ... Empowering People To Be Like Him

Acquire The Fire

April 18th -19th 2008

Registration Deadline March 30, 2008

Who: Jr. & Sr. High BYIC

Where: Denver Coliseum Denver, CO (motel .La Quinta Inn 3500 Park Av. W.)

Why: Monthly Activity

Time: leaving the church at 4pm

Return: 12:00 am Saturday night (approx. time on our return)

Costs: $68.65(Plus any extra money needed for souvenirs)

The youth will be holding on to there own money for meals

Mode of Transportation: Church Van

Accompanying Adults: Jon (c) 421-9287 Shelia(c) 286-7820 Sydnee (c) 631-4865 Amy (c) 220-8047

Each person will need: permission slip money, Clothes, toiletries, pen, paper, and bible.

In case of an emergency, we will notify: The parents.
Please cut on dotted line and keep the top portion

…………………………………………………………………………………………

I give permission for_____________________ to attend

On (date & time) ________________________. I also grant permission for the above minor to receive any necessary emergency care while at this function or in route. I understand that transportation will be provided by licensed, insured drivers that may be minors, unless I have indicated on this form that the above named minor must be transported by an adult. If the minor is driving to this event in a vehicle owned by me, I also grant permission for the usage of the vehicle for travel to and from this function.

Please check if the above minor MUST ride with an adult driver. ______

Please check if you need help with a scholarship to go to this event____

Insurance Information: Company: ________________ Policy:

Parent/Guardian Signature _______________________ Date_____________

Phone where you can be contacted_____________________________

I understand that his is a church function, and as such I will behave in a manner that will be a positive testimony to Christ and my church at all times. I will follow the instructions of those in authority over me, and will refrain from language and behaviors that would damage my Christian witness.

Signature of youth

__________________________________________







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