I, the parent/guardian of the child listed above, give permission to the New Vision leadership to authorize or administer medical attention to my child if they deem it an emergency during Teen Lock-in. I understand every effort will be made to contact me first or as quickly as possible. To "sign" this release, please enter your First and Last name in the field here.
If we can't get in touch with you or your spouse, please list individuals (and their phone numbers) we should call.
Please enter names below other than mother or father. Enter any special notes.
