2019 YG ICE SKATING NIGHT

Jamie Choe

January 18, 2019

KPCB YOUTH GROUP
BOWLING NIGHT PERMISSION FORM

DATE: January 18, 2019 (Friday)
LOCATION:
Mt. Pleasant Ice Arena
6101 Hillen Rd, Baltimore, MD 21239

TIME: Leave at church at 8:30pm, and return at 11:00pm.
(You can pick up students at the Ice Rink at 10:30pm)

COST: $10.00 (Ticket + Skate Rental)

QUESTIONS: Jamie Choe (443) 804-9523

CONTACT INFORMATION

I, the parent or guardian of the named student(s) above, authorize adult of Korean Presbyterian Church of Baltimore as agent(s) for me, to consent to medical care deemed advisable by an accredited physician or surgeon in an approved emergency clinic or hospital if I am not able to be reached. I further release from any liability Korean Presbyterian Church of Baltimore and any of its leaders in the event of an accident during Youth Group Ice Skating Night on January 18 of 2019.

Please check here and enter electronic signature if you agree to the terms above.

Electronic Signature

KPCB YOUTH GROUP BOWLING NIGHT PERMISSION FORM

TIME: Leave at church at 8:30pm, and return at 11:00pm.(You can pick up students at the Ice Rink at 10:30pm)

COST: $10.00 (Ticket + Skate Rental)QUESTIONS: Jamie Choe (443) 804-9523

KPCB YOUTH GROUP
BOWLING NIGHT PERMISSION FORM

TIME: Leave at church at 8:30pm, and return at 11:00pm.
(You can pick up students at the Ice Rink at 10:30pm)

COST: $10.00 (Ticket + Skate Rental)

QUESTIONS: Jamie Choe (443) 804-9523