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Permission Slip
This form is to be completely filled out and signed by a parent or legal guardian before a
child may participate in this event.
Please Print:
Parent or guardian name __________________________________________________________________
Please list everyone of your household who have permission to attend Collinsville Baptist Tabernacle’s
Paintball – November 21, 2009 at 10am Cost: $20
Name Relationship to you Age Date of Birth
_____________________________________________________________________________________
_____________________________________________________________________________________
I hereby give my permission for all listed above to attend this event and participate in all activities. I
understand that my child(ren) will be under adult supervision. I further understand that in signing this
permission slip, I release and hold harmless Collinsville Baptist Tabernacle, its trustees, officers,
employees, and any volunteers from any liability, past or future, fully and completely. I authorize the
executive staff or designated medical professionals to administer emergency medical assistance if I cannot
be reached.