Alpha Retreat Permission Form

I/We release Epic Church and its representatives from and in connection with any claim brought by anyone arising out of the above event. I/We further give our permission for any medical treatment deemed necessary while our/my child is under the care of Epic and its representatives as a participant. I/We understand that students who are non-compliant with the rules may be sent home at the parents' expense and responsibility. I/We further give my permission for my child to have his/her picture taken. PARENT(S) OR GUARDIAN(S) MUST COMPLETE THE FOLLOWING FOR EACH CHILD. This form only covers the above named Student Ministry Event. If there are questions or concerns regarding a specific event, parents/guardians can contact us at [email protected]

Emergency Contacts

Insurance Information