MFP.Youth Waiver OVERFLOW • Mount Forest Pentecostal Church

WAIVER & MEDICAL RELEASE FORM

OVERNIGHT Field Trips and Special Event

OVERFLOW Youth Conference @ Braeside Camp, Ontario

May 22 - 24, 2026

What’s Happening?!?

Youth groups from around Western Ontario gathering for powerful worship, main sessions, guest speakers, team activities, and tons of fun throughout the weekend.

Overflow is all about creating space for students to encounter God, grow in their faith, and build community with other youth across the province.

Important Info

Students will be staying in cabins/tents for the weekend and must bring their own bedding (sleeping bag, pillow, etc.).

Packing list and additional updates will be sent to parents in the coming weeks.

Please ensure your student brings appropriate clothing for both indoor and outdoor activities, as well as any personal items they may need for the weekend.

Students may also want to bring extra money for snacks, merch, or other optional purchases available on site.

Travel Details

MEET AT MFPC on May 22 at TBD, returning Sunday (May 24) at TBD for pickup.

Please keep an eye on social media and email for travel updates and return time (ETA).

Contact

For any further questions or concerns, please email me:
david@mountforestpc.ca

Link below for more info about overflow
https://www.overflowyouth.com

Student Information

First Name *

Last Name *

Has your student attended MFP.Youth previously? *

Home Address *

Phone Number

Does your child have any Allergies, medical or behavioural concerns our staff and volunteers should know about? *

OHIP Information

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

Family Physician

Phone Number

Parent/Guardian Info

First Name *

Last Name *

Cell Phone Number

Email Address *

Emergency Contact

Full Name *

Cell Phone Number *

Relationship to Student(s) *

Photo Release Agreement

By saying YES I grant Mount Forest Pentecostal Church premission to take an publish still photographs and moving videos of my child for the sake of MFPC youth ministry promotions. We believe it is important to capture memories together as a group that we can look back on amd share with our church family.

NOTE: Mount Forest Pentecostal Church cannot be held responsible for photos or videos taken or uploaded by the Western Ontairo District Student Collective or any other Students or youth groups.

By checking YES you agree and understand what has been stated above

YES I Grant Premission

NO I do NOT Grant Premission

Parental Agreement

Precautions are taken for the safety and health of your child, but in the event of accident or sickness or In the event that your child requires emergency treatment, you or your designated emergency contact will be notified immediately.

By signing this agreement, You grant premission for your son/daughter to particiable in the activies of Momentum Youth convention. You waive and release all claims agaist Mount Forest Pentecostal Church, it's staff, volunteers and other agents, for injury, loss, damage, accident or expense resulting from participation in the event.

Full Name (Parent/Guardian) *

By checking this box, you agree with the above policies *

Yes

Date *

Electronic Signature *