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Rock Solid 

New years Lock-in

Parent Waiver

I hereby grant my permission for my child to participate in the New Years Lock-in beginning Thursday, December 31st at 7:00 PM until they are picked up on Friday, January 1st at 7: 00 AM at The Rock Church Youth Center, 3078 HWY 101, Bridgeport, TX 76426.


By signing this permission slip, I understand the following:

  • All youth must be in grades 7-12.

  • Parents must provide a phone number where they can be reached during the evening in case of an emergency.

  • Parents will be called to pick up their teen if the teen leaves the building for any length of time and/or acts in a manner deemed unacceptable by the Youth Ministries Leaders and/or Parent Chaperones.

In the event of an emergency where medical attention is required, I hereby grant permission to the church staff/sponsor to obtain services from a licensed physician.

Please list any relevant medication/allergies or other medical information:

*If none type none.

Thanks for submitting!