Permission Form: rezYouth Lock-In

October 29/30, 2021 | Please fill out this permission form and click submit. Questions? Contact Resurrection UMC Hastings, 651.437.4398
Information

This is a fun overnight retreat at Resurrection UMC Hastings for any student grade 6-12 hosted by staff member Anthony Perry.

EVENT:
rezYouth Lock-In

DATE/TIME:
ARRIVE at REZ 6:00p, Friday, October 29, 2021 
PICK UP at REZ: 12:00p, Saturday, October 30, 2021

RETREAT LOCATION:
Resurrection UMC Hastings
615 15th St W, Hastings, MN 55033

PARTICIPATION COST/FEES:
Free

IMPORTANT:
• Students will be served dinner upon arrival and all meals/snacks will be provided
• Students need to bring a pillow and sleeping bag/bed roll

Student Info

 
 
 
 
 
 
 
Parent/Guardian Info/Permissions

 
 
Please select all that apply.
For parents who've granted permission:
As such, I acknowledge I am aware of:
- Risks, including, but not limited to, slips, falls, scrapes, twists, jolts, scratches, bruises, sprains, lacerations, fractures, concussions, or even more severe injuries.
- Potential hazards associated with travel to and from the field trip site.
- Possible contact with plants, animals or insects that could result in stings, allergic reactions and associated diseases.

Further, I confirm I have provided:
- Appropriate and available emergency contact information for the duration of the field trip and travel time.
- All necessary medical information, including a list of allergies, instructions and medications to the appropriate staff to ensure adequate care is available while my student is under their supervision.

 
 

Description

October 29/30, 2021
Please fill out this permission form and click submit. Questions? Contact Resurrection UMC Hastings, 651.437.4398