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Chris MeadersMinister of Students
Cell: 979-0324
Mt Airy Student
seeks to help st
...encounter God through wor
...connect with other students in
...discover their place in ministry,
...reach the world for C
Our desire is to push stChrist-likeness. We want
spending time w
living in and thr
fellowshippingwitnessing to th
serving others t
giving sacrificial
Mt. Airy Student MiRREELLAATTIIOONNSS
First, our RELATI
with God
Second, our RELATIwith others
M
inistry
dents...
hip,
BSF,
and
rist.
dents towardsto see students...
ith God in prayer daily,
ough God's Word,
ith others believer's,world about Christ,
rough ministry, and
ly.
istry valuesIIPPSS!!
NSHIP
ONSHIP
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Senior
Trip
August 2-6
$160.00
No rules!
Just Fun!
Seniors Only!
(Includes hotel, most meals
and three days in the park)
World Changers seeks to providadults with opportunities to mspiritual needs of others throuexperiences that teach servancommitment to missions. Groupslocal schools, churches, or colle
and dinner are provided cafeterisite. Lunch is provided at the work
BirminghaJuly 11-18, 2009
Deposit Due Janua
Christian youth andeet the physical andgh practical learning-hood and personalre typically housed ine facilities. Breakfast
a-style at the lodgingsite by local churches.
, AL$160.00
y4 ($50)
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II. Transportation
I give permission for my child to ride in any vehicle designated by the adult in
whose care that minor has been entrusted while attending and participating
in activities sponsored by Mt Airy Baptist Church. If it becomes necessary for
my youth to come home for any medical or disciplinary reason, I agree toprovide transportation and do so at my own expense.
III. Medical Authorization
If professional medical care is required, I may be contacted at one of the
following phone numbers:
Home ___________________________ Cell ____________________________
In the event reasonable attempts to contact me have been unsuccessful,medical treatment may be rendered to my child. I authorize an adult, in
whose care the minor has been entrusted, to consent to any xray,
examination, anesthetic, medical, surgical or dental diagnosis or treatment,
and hospital care, to be rendered to the minor under the general or special
supervision and on the advice of any physician or dentist licensed under the
provisions of the Medical Practice Act on the medical staff of a licensed
hospital, whether such diagnosis or treatment is rendered at the office of said
physician or said hospital. The undersigned shall be liable and agree(s) to pay
all costs and expenses incurred in connection with such medical and dental
services rendered to the aforementioned child pursuant to this authorization.
IV. Agreement
The information on this form is accurate and I agree to all conditions asked of
me.
________________________________________________________________ Date ____ / ____ / ____(Parent/Guardian Signature)
________________________________________________________________ Date ____ / ____ / ____
(Notary Public Signature)
If your student wants to be involved in any event throughout the year,
please fill this form out completely and turn back into
Chris as soon as possible. Thanks
Trip My student(s) would
like to go
I would like
more Info
Student Life
Weekend Conference
Student Life @
the Beach
World Changers
Mission Irazu
Senior Trip
Sign me up to be on the Parent/Volunteer Network.
(You will be sent monthly emails of upcomingMASM opportunities and ways you can serve)
Email:__________________________________________________
I would like to host a CaF one month in my home.
Name:_______________________________________
Phone:_______________________________________
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