Name (Required)

Email Address (Required)

I/ We (Required)

, am/are the parent(s) / legal guardian(s) of (Required)

born (Required)

I/ We acknowledge that my/ our child is traveling domestically with the Church of Pentecost USA Inc., from the church's Denver Central premises at 5900 E39th Ave, Denver CO, from 8AM on July 29th, 2023 to the Royal Gorge in Colorado. I acknowledge that I a (Required)

Please indicate if your child will be accompanied by an older family member on the trip. (Required)

Please indicate if your child requires special attention. (Required)

Please type out your full name to indicate your signature. (Required)

Please put your phone number here so that we can reach you to confirm that you are authorizing your child to go on the trip. God bless us all. (Required)