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Foodless Feast 2019

*Grade
*Gender
T-shirt size (ONLY IF REGISTERED NO LATER THAN NOV 3)
If you register for Foodless Feast, you will automatically be signed up for a food packing slot with Feed My Starving Children from 2:30-4:30 on Saturday (the whole Foodless Feast group will be packing at this time). If you are unable to be here for this time slot for some reason, please let us know here.
We are encouraging family members and other students and leaders not attending Foodless Feast to sign up for this packing slot as well! You need to use THIS LINK to sign up for this slot. 


Please let us know if you will not be there on Saturday morning for our group service project in Harrisburg, and note that we will not be at church between 8:30am-1:30pm. So if you need to leave in the morning, please do so by 8:30am and don't plan to return to the building until 1:30pm.
*Parent's Name
*Parent's Email
*Emergency Contact Name and Cell Phone Number
*Medical Insurance Carrier Name
*Medical Carrier ID#
Are there any medical conditions or medications that we need to be aware of?
Please include any other notes of whether your student will be arriving late or leaving early. If your plans change, you can let us know at students@westshorefree.org
*The undersigned does hereby give permission for the above-named child to attend and participate in activities, including transportation by van/bus, sponsored by West Shore Free Church, Mechanicsburg, PA, on Nov 15 and 16, 2019.  I understand that, in the event medical treatment is required, every effort will be made to contact me.  However, if I cannot be reached, I give my permission to the staff or sponsor to secure the services of a licensed physician to provide the care necessary, including anesthesia, for my child's well-being.  I further agree to indemnify and hold harmless West Shore Free Church, its employees, directors, officers, volunteers or agents for any injury, expenses or fees sustained related to the above referenced activity.  
I acknowledge that checking the "Agreed" box below signifies my consent and electronic signature:
*I give permission to WSFC to use photographs and/or video taken during the event for promotional purposes such as the web site, brochures, etc.