Bonfires…

 Paintball…

And many more!

Permission Slip For
Grace Bible Youth Event

_______________________
(Event Name)

Child’s Name _________________________
(If more than one child from your family is participating you may give all of their names.)
Phone # ______________

I give permission for my above named child(ren) to join the Youth Ministry of Grace Bible Church to participate in the above stated event, on ____________ 200__.

I know that they will be traveling to and from the event in the church van and/or in church-approved vehicles with adults who are approved drivers.

I hereby release Grace Bible Church, its staff and sponsors, from responsibility and liability for any injury or illness that my child may sustain during this activity. In the event of an emergency, I hereby authorize an adult leader of this activity, as agent for me, to consent to any X-ray examination; medical, dental or surgical diagnosis; treatment; and hospital care advised and supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state where the services are rendered, either at a doctor’s office or in any hospital. I expect to be contacted as soon as possible.

Signature of parent or legal guardian ______________________
Date _____________________
Emergency phone number _______________________________
Secondary Emergency phone number _______________________

MEDICAL INFORMATION
Allergies _______________________________________
Medications being taken ____________________________
Physical handicaps or limitations ______________________
Medical insurance company _____________________
Policy Number ____________________
Member’s name _________________________________

We’ve updated our youth ministry photos and more are on the way. If you students would like to add any of your pics to our site (which would be really cool), please let John know. We’ll sign you up! Our flickr site is HERE!

_______________________________________________

Stefanie Pappas
Stefanie makes the Youth Program go here.  She plans a lot of our activities and leads the Encouragement Ministry group.  She has lead and still leads small group counseling sessions.  She too loves The Ohio State Buckeyes.

Aletheia Bena
Her name means, “Truth”. Aletheia loves going to concerts, eating Gummy Bears and dreams of one day singing a duet with Josh Groban. She is a multi-talented addition to the youth ministry team, who works with both our Jr & Sr high students.

Philip Bena
This guy literally rocks. He’s a drummer, a recording studio tech, indie film producer and all around good guy. He works primarily in the High School Awana program (Journey), though he’s been seen going on the Guys’ Backpacking Trip, helping at Afterglows and filling in wherever needed. He loves the Taco Bell dollar menu, watching movies and taking long walks on the beach at sunset.

Beka Heisig
Beka graduated from Washington Bible College in May of 2008.  She loves her full-time job working at WBC in the library.  Beka is dedicated to our teens and is the leader of our Prayer Ministry Group.  She is a big fan of the Washington Redskins and the Tennessee Volunteers.

Brian Chinn
Brian is the quiet force in our Youth Group.  He helps lead the Activity Small group and loves to go all out in every sport he plays.