10th Grade Girls Fellowship to Mrs. Hansard's
Please fill out the form below entirely to ensure we have accurate information on-hand for your child.
Sign in to Google to save your progress. Learn more
Trip Information
I hereby give permission for my daughter to participate in the 10th grade girls fellowship to Mrs. Hansard's on Friday, October 19th.
I understand that this activity will be under the supervision of SBA staff and thereby relieve Silverdale Baptist Academy of all responsibility beyond that of normal supervision.
I understand that this activity may/will include the following:  Food, fun, and fellowship

Departure Time:  11:00 am

Return Time:  3:00 pm

Dress Code:  T-shirts and jeans with no holes

Cost for Student:  0

Means of Transportation:  SBC vans  

Student First Name *
Student Last Name *
Homeroom Teacher (last name only) *
Emergency Information
Emergency Contact 1 Full Name *
Emergency Contact 1 Phone *
Emergency Contact 2 Full Name
Emergency Contact 2 Phone
Medical Information
Has any of your child's health information changed since it was last updated in RenWeb, such as Insurance provider, policy number, medications/dosages, or allergies? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Silverdale Baptist Academy. Report Abuse
Google Forms