Download PDF of this permission form (click here)

Dear Teen :

It's time to get ready for Harvest Teen Rally 2010!  We are very excited to have you come out to the farm again for the 30th rally! Be ready to hear some great preaching and have a ton of fun.  Be sure to invite your friends to come, also.  We are planning a great day for you so don't miss this opportunity for some fun, food and fellowship.

OPPORTUNITIES:

   Evangelist Steve Pettit and his team will challenge you from the Word of God.

   We have lots of fun games lined up for you to try. NEW: 2 new dodgeball inflatables, be sure to get a team!

   Don't forget to put a team together for the team competitions.

Your lunch will be provided with your registration but bring some extra money for concessions.   The cost for the day is $15.

   We are planning to launch some pumpkins again this year.  Last year we managed to launch a  pumpkin over 800 yards!    

TEAM ACTIVITIES: 

Volleyball- Let your pastor know if you have a team to pre-register.

Basketball- 3 on 3 girls or boys- please pre-register.

Foxhole Foosball- teams of 6

Corn Hole

Obstacle Course
            Dodgeball- teams of 5

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                                                            Permission Form

NAME___________________________________________PHONE________________

ADDRESS________________________________________AGE______GENDER____

CITY________________________________________STATE______ZIP____________

CHURCH (attending with)_____________________________PASTOR_____________

  I hereby give permission for my child to take part in all Harvest Teen Rally activities and absolve Harvest Teen Rally, Inc. from liability to me or my child because of any injury to my child while attending.

  In case of medical emergency, I understand every effort will be made to contact the parents. In the event I cannot be reached, I hereby give permission to Harvest Teen Rally to secure proper treatment for my child.  Additional phone #______________

Date of last tetanus shot:_____________________Allergies_______________________

The cost for the day is only $15.00.

Signature of Parent or Guardian:_____________________________________________