WAIVER & MEDICAL RELEASE FORM

Field Trips and Special Events

Youth Rally @ Walkerton Pentecostal Church, Walkerton

Groups from around the region gathering for Games, Worship, Food and lots of fun!

Febuary 6th, 2026

 

*** MEET AT MFPC for 5:30pm, returning between 10 - 10:30pm for pickup.***

 

Student Information

OHIP Information

The above named child is covered by Ontario Health Insurance (OHIP) or equivalent medical insurance.

Parent/Guardian Info

Emergency Contact

Parental Agreement

Precautions are taken for the safety and health of your child, but in the event of accident or sickness, Mount Forest Pentecostal Church, its staff, and its volunteers are hereby released from any liabiltiy. In the event that your child requires emergency treatment, you or your designated emergency contact will be notified immediately.