BUSCH GARDENS YOUTH TRIPWHEN: MARCH 28, 2008COST: $60.00 COST INCLUDES TRANSPORTATION AND TICKET PLEASE BRING MONEY FOR FOOD PAYMENT DUE BY MARCH 16, 2008 6:30 AM CHECK-IN7:00 AM BUS LEAVING 11:00 PM BACK AT CHURCH
Name: Address: City: State: Zip Code: Phone:
Grade: 6th7th8th9th10th11th12th Gender: MaleFemaleSpecial Needs:
Parent/ Guardian Information
Name:Home Phone: Other Phone:
Email: Alternate Address (if applicable)
*Click here to download the permission slip- When completed return completed and signed form to The Grace Place by:
1. Mail form to 1550 S.E. Salerno Road Stuart, Fl. 34997 Attn: James Pendleton or Eric Addison
2. Return form to The Grace Place main office Mon - Fri from 8 am - 5 pm
Attn: James Pendleton or Eric Addison
3. Send the completed form with your student to youth group
