Destination Unknown Week

This form is intended for parents to fill out.

By filling out this form you are giving permission for your child to attend Destination Unknown week in all it's locations. You are further agreeing to hold the First Church of God and its adult supervisors guiltless from any responsibility other than normal supervision and care.

In case of accident or emergency, you will not hold First Church of God and its adult supervisors liable, unless guilty, of gross disregard for the safety of your child.

Furthermore, in case of accident or emergency, you give permission for First Church of God and its adult supervisors to order any necessary medical treatment. Understand that every opportunity will be made to contact you in case of an accident or emergency.

1. Student First and Last name *This question is required.

2. Student Phone number (if applicable)

3. Parent Name *This question is required.

4. Parent Email *This question is required. This question requires a valid email address.

5. Parent phone number *This question is required.

6. Over the Counter Permission
Do you give permission for your child to be given over-the-counter medication as needed and as directed on the label, to treat non-emergency medical conditions that do not require a doctor or hospital visit such as a minor headache, stomachache, or allergic reaction (i.e. Tylenol, Advil, antacids, Benadryl) while on this trip? *This question is required.