Worship & Sermons
Student Permission for Overnight Travel
Registration for the following trip:
Middle School 2021 Fall Retreat
High School 2021 Fall Retreat
Winter Ski 2022 Retreat
High School 2022 Spring Retreat
Passport Missions 2022
High School 2022 Mission Trip
Student T-Shirt Size
Student arriving late or leaving early?
Current Medical Information
Allergies and Current Medicines
Please list any medical conditions, allergies, dietary restrictions or medicine that is currently affecting the student. Please be specific with dosage and frequency.
Trip Chaperones are allowed to dispense the following medications
Cold & Sinus
Select the medicines that can be given without contacting you first.
Please list ay other medicines you want your child to be given.
Update General Permission Form Information
Please use this section to give us any changes to the General Permission form you filled out at the beginning of the year. (Type "None" if nothing has changed)
Parent or Legal Guardian Signature
A parent or court appointed legal guardian must sign to allow their child to participate in Providence Baptist Student Ministry in the overnight trip listed above. Your signature also shows that you and your student have completed the General Permission Form and have reviewed the Behavioral Expectations Contract with your student.
Name of Signer
Parent or Legal Guardian's Signature
Electronic Signature Consent
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper.
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