Permission and Release Form
Lafayette-Orinda Presbyterian Church Youth Ministry
You may either (1) Print and fill out the form and bring it to the church before the event and drop it off at the Youth Ministry Office, or (2) mail it to:
Lafayette-Orinda Presbyterian Church
49 Knox Drive
Lafayette, CA 94549 USA
Attn: Ben Couch, Youth Director
This PDF document form contains:
- Youth Agreement - To be filled out and signed by Student
- Parent Permission, Waiver, and Release - To be filled out and signed by Parent
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