Fun Time America Hangout!
111 Highway 35 South, Cliffwood, New Jersey 07721

http://www.funtimeamerica.com/

Laser Tag! Arcade Games! Rides! Rock Climbing!

WHEN: Thursday (07/02/09) – 4pm to 9pm.

WHERE: Meet at CCOB. We’ll take the vans there.

COST: $15 - This includes 1 Laser Tag, 30 Game Tokens, 3 Carnival Rides, and a slice of pizza.

 
PERMISSION SLIP FOR !GNITE

If you are under 18 years of age please have this form filled out and signed
by your parent/guardian so that you will be able to participate.

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We,_____________________________ the parents of, _____________________________ hereby consent to our child participating in the following activity with Calvary Chapel Old Bridge, New Jersey:
 
Fun Time America Hangout July 2nd from 4:00pm to 9:00pm (Taking Church Vans)
Bring $15 to cover the costs.

In consideration of said Calvary Chapel permitting our child to participate in the aforesaid activity, we hereby agree to indemnify and save harmless said Calvary Chapel, its officers, volunteers, adult chaperones, employees, and agents against any and all claims for loss or liability incurred by, or caused to our child as a result of said activity.  If I cannot be reached, I grant permission to any physician or emergency medical personnel to render medical treatment as necessary.

Sign:_____________________________                                     Print Name:_______________________

Phone Number:____________________                                      Date:_____________________________