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Focus Weekend Early Release Form
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)
MM slash DD slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
Reason for Departure:
(Required)
Date and Time of Return:
Not returning
Not returning
Date
(Required)
MM slash DD slash YYYY
Time
(Required)
Hours
:
Minutes
AM
PM
AM/PM
My student will be:
(Required)
Select
Picked up
Driving themselves
Picked up by:
(Required)
First
Last
Parent/Guardian Name
(Required)
First
Last
Student Name
(Required)
First
Last
Parent/Guardian Cell Phone #
(Required)
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