Upper Elementary Upper Elementary Ministry Winter Outing Date: January 26th, 2025 Where: Bible Museum , Washington, DC Cost:$20 per person Deadline for Registration: January 19th, 2025 How many Participants are you registering ?(Required)Please choose a numberOneTwoThreeParent / Emergency InformationParent/Emergency contact Name(Required) First Last Parent/Emergency contact Email(Required) Parent/Emergency contact Phone(Required)First Child InformationFirst Child's Name(Required) First Last First Child's Grade(Required)Please selectPlease choose a grade3rd4th5thSecond Child InformationSecond Child's Name(Required) First Last Second Child's Grade(Required)Please selectPlease choose a grade3rd4th5thThird Child InformationThird Child's Name(Required) First Last Third Child's Grade(Required)Please selectPlease choose a grade3rd4th5thTotal Amount DueTotal Registration Due Amount: $0.00 Donate to support the Ministry Total Due Consent(Required) I agree to the consent belowI give permission for my child, . to take part in the church trip described above. I hereby authorize the trip leaders to act on my behalf according to their best judgment in an emergency requiring medical attention, and I agree to take responsibility for the expense of such a procedure. I understand that while the leaders will try to act in their best ability, I will not hold them or the Church responsible for any accident or injury. I understand all reasonable safety precautions will be taken at all times by trip leaders during the events and activities. I understand the possibility of unforeseen hazards and know the inherent possibility of risk. I agree not to hold the Church or leaders liable for damages, losses, diseases, or injuries incurred by the subject of this form. Credit Card InformationCredit Card Cardholder Name Card Details