I, the undersigned parent/guardian, do hereby grant permission for my son/daughter, named below, to attend this event. In order that my child may receive the proper medical treatment in the event that he/she may sustain injury or illness during the event, I hereby authorize the Twin Rivers staff to obtain or provide medical treatment for my child for such injury or illness and I hereby hold the Twin Rivers staff and Twin Rivers Church as well as its representatives, harmless in the exercise of this authority.

I further understand that there is always a possibility that my child may sustain physical illness or injury. If this occurs, I hereby authorize the camp staff and representatives to refer my child to a medical treatment center (hospital, etc.). I further acknowledge and understand that I will be responsible for any medical bills that may be incurred on behalf of my son/daughter for physical illness or injury that he/she may sustain.

Understanding that there is always a possibility that my child may sustain physical illness or injury, I acknowledge and understand that my child is assuming the risk of such physical illness or injury by his/her participation, and I further release Twin Rivers Church and its representatives from any claims for personal illness or injury that my child may sustain. I further acknowledge and understand that my child will be responsible for his/her failure to abide by the rules and regulations of Twin Rivers Church.

Go

Baptize

Teach

Know God and Make Him Known

“Go therefore and make disciples of all the nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, teaching them to observe all things that I have commanded you; and lo, I am with you always, even to the end of the age.” Amen.” Matthew 28:19-20

Sunday - Prayer @ 9am

Sunday - Worship Service @ 10am

Wednesdays - Through the Bible Study @ 6:30pm

High School Youth - Sunday @ 6:30pm

Middle School Youth - Wednesday @ 6:30pm

1660 Mohawk Blvd, Springfield, OR 97477

541-746-4734

office@twinriverschurch.org

www.twinriverschurch.org