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69
SPACE IS LIMITED!
GET YOUR $25 DEPOSIT IN TO HOLD YOUR SPOT!
We will be picking up students at ******* on October 4th at ****.
We will return by 7PM October 6th. We will be staying at Big Lake
Youth Camp located at 13100 Hwy 20, Sisters, OR.
If I am under the age 18, my parent or guardian, by signing below, also consents to my release and he or
she agrees that this release shall be binding upon him or her as my parent or guardian as to me and my
estate, heirs, personal representative or assigns. My parent or guardian also promises, by signing below
to defend, indemnify and hold Youth for Christ harmless from any claim asserted by me against Youth for
Christ, including its trustees, employees and agents, if I should repudiate this release after obtaining
adulthood.
I also understand that illegal or immoral activities will result in the student being sent home immediately.
(These activities would include but not be limited to the possessions and/or use of drugs or alcohol,
bringing any illegal substance or material to event, sex outside of marriage relationship, stealing, fighting,
defiance, lying about age, etc)
I also understand that students are not allowed to leave without parent checking students out of facility. If
students are found attempting to leave without permission, students will be sent home immediately.
I also understand that Youth for Christ will not be responsible for any lost or stolen items. Bag Check will
not be offered. Large bags and backpacks are not permitted. We highly recommend that students dont
bring valuable items that could be stolen. We will not be responsible for lost or stolen items.
I release all rights of any video, photo or other media source materials taken of my child for the exclusive
use of Youth for Christ.
Register at www.lcyfc.org
SIGNATURE OF PARENT/GUARDIAN
DATE
SIGNATURE OF STUDENT
DATE
CAMPUS LIFE IS A PROGRAM OF YOUTH FOR CHRIST AND NOT AFFILIATED WITH ANY SCHOOL.
FOR MORE INFO VISIT LCYFC.ORG - 1190 W 7TH AVE, EUGENE, OR 97402 - 541-686-9225