CBA Middle School Retreat Oct 2023 (Grades 5-7) Permission Slip

Name of Student (Please complete a separate form for each student)(Required)
Name of Parent/Guardian 1(Required)
Name of Parent/Guardian 2
By checking this box, I affirm acknowledgement of the following trip details.(Required)
Dear parents of students in Grades 5-7, Your child's class is going on a 3-day retreat! This is an excellent chance to further your child's growth outside of the classroom. PURPOSE: A special time of team-building discipleship as the 5th-7th grade teachers and Dr. Nathan Johnson spend concentrated time focused on building courageous leadership in our students. Activities and talks will be purposefully planned to develop servant leadership and teamwork. Students will be staying at Ridgecrest Conference Center in Black Mountain, NC. We have reserved both a boys and a girls bunk room. We will be leaving from school at 8:45 am on Wednesday, October the 18th. Please arrive no later than 8:30 that morning. We will return Friday, October 20th, at 5:00 pm at the HABC campus. The school is covering the cost of the trip but asks each family to pay $100 to help expenses. Students will be provided with further information regarding what to bring with them as the date approaches.
Parent/Guardian Permission (please select one):(Required)
By checking this box, I affirm that I have provided CBA with all parent/guardian contact information and any special conditions for my child (allergies, medical conditions, etc.). I also agree that I will keep all parent/guardian and all student information (including medical information) up-to-date in the Student database (FACTS).(Required)
By checking this box, I affirm that I have carefully read and signed the Field Trip Liability form for the 23 - 24 school year and agree to its terms knowingly and voluntarily. This consent and release submitted to CBA for this school year has been read and is understood by myself.(Required)
By checking this box, I affirm that I have carefully read and understood the information regarding this specific retreat.(Required)
I have submitted any payment due via Venmo to charlestonbilingualacademy.(Required)
I am the parent/legal guardian of the child named above.(Required)
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