Focus Weekend Early Release Form - Cypress Creek Church

As parent/legal guardian of:(Required)

First Last

I have reviewed the schedule for FOCUS WEEKEND 2023, and give permission for the subject of this release to leave the event and return at the following specified times. I agree not to hold Cypress Creek Church Wimberley, TX liable for damages, losses, diseases, or injuries incurred by the subject of this form.

Date and Time of Departure:

Date(Required)

Time(Required)

Reason for Departure:(Required)

Date and Time of Return:

Not returning

Date(Required)

Time(Required)

My student will be:(Required)

Picked up by:(Required)

First Last

Parent/Guardian Name(Required)

First Last

Student Name(Required)

First Last

Parent/Guardian Cell Phone #(Required)