Overnight Form

For Ellerslie Youth Ministry 2023/2024

    All fields required.

    Event Information

    Ellerslie Youth will be bussing from Ellerslie Road Baptist Church to Gull Lake Centre on November 10th at 6pm and returning via bus on November 12th at 12:30pm. The Ellerslie Youth Retreat will be an offsite overnight weekend where teens will be staying in cabins supervised by approved Ellerslie Youth Leaders. There will be a variety of games, special activities, worship, teaching, small group time and more happening throughout the weekend.

    Participant Information

    Emergency Contacts

    Pictures are taken at times to remember events and share the excitement with others. Unless submitted in writing to the church, we will assume this is permissible.

    I hereby give permission for, , to take part and receive the advantages of Ellerslie Road Baptist Church’s ministry overnight event of Ellerslie Youth Retreat 2023 and to be transported by bussing that has been hired by Ellerslie Road Baptist Church. In the event of an emergency and medical treatment is required, I give permission to the staff and/or volunteers to obtain services for treatment as deemed necessary if I cannot be contacted in a reasonable amount of time. I recognize that there are risks inherent in activities my child may be engaged in and I waive, hold harmless, or indemnify Ellerslie Road Baptist Church, its instructors, paid or volunteer staff, successors, heirs and assigns from any action. I do hereby release, forever discharge and agree to hold harmless, Ellerslie Road Baptist Church and the representatives thereof from any and all liability claims, or demands for personal injury, sickness, or death, as well as property damage and expenses of any nature whatsoever which may be incurred by my child in the course of participation in the aforementioned. Furthermore, I agree to assume all responsibility for any of the previously mentioned occurrences.

    Guardian's Printed Name
    Guardian's Signature