What: UNITE Youth Gathering
When: Sunday, April 27
Time: 5 pm
Drop off: @ 4 pm, Montavilla Church parking lot, 9204 SE Hawthorne Blvd, Portland 97216
Pick up: We will message when we're on our way with an ETA
Cost: FREE
Things to know: dinner is included and all friends are welcome!
*Event is open to students in 6-12 grades*

BY FILLING OUT AND SUBMITTING THIS FORM, PARENT/GUARDIAN IS GIVING PERMISSION FOR PARTICIPANT TO ATTEND THE UNITE YOUTH GATHERING WITH MONTAVILLA CHURCH.

PARENT/GUARDIAN AGREES THAT MONTAVILLA AND/OR ITS LEADERS ARE NOT LIABLE FOR ANY ACCIDENT OR INCIDENT RELATED TO EITHER THE PLANNED EVENT OR TRANSPORTATION TO OR FROM THE EVENT. NOR ARE THEY LIABLE FOR ANY INJURIES SUSTAINED, OR ANY LOST, STOLEN OR DAMAGED ARTICLES. I AUTHORIZE MONTAVILLA CHURCH AND/OR ANY ADULT LEADER TO OBTAIN THE SERVICES OF A PHYSICIAN AND/OR HOSPITAL FOR THE CARE OF MY CHILD, IF NECESSARY, INCLUDING EMERGENCY MEDICAL CARE, EMERGENCY X-RAYS, AND/OR EMERGENCY SURGERY. SHOULD THE NEED ARISE, I ALSO AUTHORIZE MONTAVILLA CHURCH AND ITS LEADERS TO INCUR ANY NECESSARY EXPENSES FOR SUCH SERVICES IN THE EVENT OF ACCIDENT OF ILLNESS, AND I AGREE TO PROVIDE PAYMENT FOR THESE EXPENSES.