If you would like to participate in one of our events, fill out this form and give it to John Ceselsky.

I, ____________________ (parent or guardian of participant under the age of 18), give permission for my child(ren) ____________________ to go on the Rockhouse trip to ____________________ on ____________________.  By signing this form, I release Aisquith Presbyterian Church, its agents and volunteers from any liability for any injury which may occur on this trip.

Signature: ____________________
Date: ________________________