into the wild flyer

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The Basics: (Full disclosure on the back) Who: High School (Completed 8-12 in 2017-18 school year) What: We are heading to South Georgia to enjoy some wild things with a Wild God (Wonderful, Incredible, Loving and Dependable) When: June 22nd 1:00 PM till June 26th 10:00 PM Where: Waycross Area (including Cumberland Island and Okefenokee) and Valdosta Area (Wild Adventures Theme and Water park) Why: To enjoy fellowship and have a great adventure together. How: Turn in the form below and your deposit of $75 to guarantee your spot. (Details of cost and what is included is on the back of this form) Cost: $195 (But details and possible discount information on the back) Into The Wild Consent Form (Also, please turn in a copy of insurance card front and back) Studentʼs Name (Please Print): ________________________________________________________ Cell: ____________________________

Grade completed in 2017-18: ___________

Please list any allergies (including food) we need to be aware of on back of form. Parent/ Guardianʼs Name (Please Print): ________________________________________________ Parent/ Guardianʼs Cell phone number: _________________________________________________ Parent/ Guardianʼs email: ____________________________________________________________ In allowing my student to attend the Into The Wild, I am giving my approval for them to participate in the activities. I realize that the group will be traveling to and from South Georgia to participate. In the event of an accident, I will not hold Sharon Church or the adults from Sharon Church liable. I also give authority for a medical team to make decisions, in the event, that my child is facing a life threatening injury or illness.

_____________________________________________" Signature of Parent/Guardian" " " " "

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________________ Date

Promised full disclosure:

Money Matters and Travel Details:

How to sign up: " Turn in a $75 non-refundable deposit and paperwork to guarantee a spot. (Balance due June 3rd)

Trip Cost: $195 Deposit: $75- Non refundable First 5 people $160 (-35) Sign up by: April 25th cost is $180 June 3rd cost is $195 ALL MONEY DUE JUNE 3rd

Included: " " Transportation, 4 nights hotel, Movie ticket to Jurassic World, Admission to Georgiaʼs own Wild Island (Cumberland) to explore, Admission to Georgiaʼs own Wild Swamp (Okefenokee) to explore including boat ride, Admission to Georgiaʼs own Wild Adventures (Theme Park in Valdosta) for two days (one the water park), 3 lunches and 4 breakfasts Not included: " 2 lunches, 5 dinners, money for snacks and/or souvenirs. (2 lunches in the park) Hotel Locations: (June 22 & 23) Hotel in Waycross: Best Western Plus Bradbury Inn and Suites 912) 284-0095 (June 24 & 25) Hotel in Valdosta: Comfort Suites" 229) 249-1000 1785 W. Hill Ave. Valdosta

Friday: Drive to Waycross Movie- Jurassic World Saturday: Cumberland Island explore day Sunday: Okefenokee Drive to Valdosta Monday: Wild Adventures Theme Park Tuesday: Wild Adventures Water Park Drive Home

Additional Space intended for food allergies and additional notes about medications or other concerns.