Lifeway Youth- Kings Island Permission Slip Lifeway Youth Kings Island Trip Date: July 26, 2025 Drop-off: 7:15 AM – Lifeway Church Pick-up: ~10:00 PM – Lifeway Church Student InformationStudent Name(Required) First Last Student D.O.B(Required) MM slash DD slash YYYY Grade (Fall 2025)(Required)Student Phone(Required)Emergency Contact Name:(Required)Phone(Required)Allergies/Medical Conditions(Required) Yes No Allergies/Medical Conditions(Required)Parent/Guardian InformationParent/Guardian Name(Required) First Last Phone(Required)Email(Required) Payment InformationTotal Estimated Cost: $85 Includes: Kings Island Group Ticket: $49.99 Transportation Contribution: $15 Food (recommend bringing cash): $20Payment Instructions: Please submit payment in person (cash or check made to Lifeway Church) by July 12, 2025 to secure your student's spot. We are not accepting online payments to avoid a 3% processing fee. How will you submit payment?(Required) I will send cash with my student. I will bring cash in person to the church office. I will send a check with my student. I will bring a check in person to the church office. Payment Due Date: July 12, 2025ConsentsConsent(Required) I am the legal guardian of the minor listed above and I give permission for them to participate in the Lifeway Youth trip to Kings Island on July 26, 2025Consent- Transportation Acknowledgment(Required) I understand my child will be transported by church-approved vehicles.Consent(Required) I understand that transportation and supervision will be provided by Lifeway Church volunteers.Consent(Required) I release Lifeway Church and volunteers from liability in the event of accident or injury.Consent- Photo/Media Release(Required) I give permission for my child to be photographed during the evenTyped Signature (Full Legal Name)(Required)By typing my name below, I affirm that I am the legal guardian of the minor listed above and give permission for their participation in this event. Δ
