Permission Slip for Hao Hung III
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8/3/2019 Permission Slip for Hao Hung III
1/5
Knh Gi:
Trch Yu:Tr
Huynh v cNh
ca on vyu thnon you bec
aith and i
gng sngPh Huynh
1. a ichiu ngy
2. iu ki3. L ph: $4. Thi h5. Lin lc:
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V l
Huynh c gcho on TMaria ban
Trn trng
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Lm. Giuse
PHONGVIE
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purity.cho mi n
khuyn kh
v thi giha Nht 1
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ng khuynhiu Nhi cun phc l
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cc em hohoc bt ccon.on Thiu
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sa mc nyn Tin Mc hi v
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-
8/3/2019 Permission Slip for Hao Hung III
2/5
T
L
in Thoi
a Ch: .......
n Cha: ......
Ph:
Tn Th
(Saint Na
Chp Th
...................
i,hng kin
Signature:
TChc
h: .............
...................
...................
$40.00
nh
me) (L
n & Gii
...................
(
ng v mi
(Ph H
N
i: Zion
...................
...................
...................
Hast Name)
Thiu Ca
...................
Tn)
s ri ro kh
ynh K Tn)
IN TTn Sa M
ational Par
........... i
...................
...................
(First
Cha Tuyn
...................
, xin cng may x
AM Dc: Ho H
k, UT
Thoi Cell
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Tn
Middle Na
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tham d Sra ngoi
SAng III
Ngy: 1
: .................
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me)
Mc v cmun trong
C
1 13 thn
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l: .................
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... ................
(Sa Mc Si
Ngy Sinh
(Birthday)
p nhn chsut thi gi
Date:
11 nm 2
...................
...................
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(S
u trch nhian Sa Mc.
11
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..............
..............
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nh
age)
m v s
-
8/3/2019 Permission Slip for Hao Hung III
3/5
AC
If St
guard
Chur
PAR
NOT
I, th
partic
"Acti
I undsever
I un
RES
I rep
witho
I und
shall
partic
I her
truste
conn
activi
or ju
assig
beca
to pr
result
repre
I ack
poten
terms
Paren
Paren
NOWLEDG
dent/Particip
ian is requi
h/Diocese be
NTS OR GU
SIGN THIS
undersigned
ipate in the S
vity"). IF UN
erstand and ae and serious
erstand and
ONSIBILITY
esent and war
ut any limitati
erstand, ackno
not be liable f
ipating in this
by release, d
es, employee
ction with St
ties, trips and
gments of an
s may have
se of Student/
perty that occ
from any ca
sentatives' ow
nowledge that
tial dangers i
and understa
t/Guardian Fu
t/Guardian Si
MENT, REL
nt is a minor
ed. A signe
ore a Student
ARDIANS W
GREEMENT
(print nam
MC HOER 18 YEAR
knowledge thhysical and e
acknowledge
for any and a
rant that Stud
ons.
wledge, and a
r any injury/il
Activity.
ischarge, inde
, agents, coa
udent/Particip
related exerci
y kind that S
against VEYS
Participant's p
urs to Student
se including
passive or ac
I have caref
cident to eng
d I am waivin
ll Name: ____
nature : ____
PHONG T
VEASE, HOL
, then parent
VOLUNTA
Participant wi
HO DO NOT
, AND WILL
) _________
HNG III) a
S OF AGE, m
at this Activitotional injury
that in orde
ll potential ris
nt/Participant
gree that the
lness suffered
mnify, and ag
hes, teachers,
nt's participat
e. For purpos
tudent/Particip
, Board, and
rsonal, physic
/Participant or
ut not limited
tive negligenc
ully read this
ging in the A
g certain right
___________
___________
O THIVietnames
LUNTARD HARMLE
or guardian
RY ACTIVI
ll be allowed
WISH TO A
OT BE ALL
__________
tivity of the
y parent or gu
may be dan/illness, or ev
r to participa
s, injuries, or
is mentally an
EYS, its trust
by Student/Pa
ree to hold h
volunteers, a
ion in this Ac
of this RELE
ant or Studen
their trustees,
al or emotion
his or her pro
to VEYS, B
or other acts
VOLUNTAR
ctivity, am ful
and assumin
___________
___________
U NHI THe Eucharistic
ACTIVITSS AND AS
ust sign. If S
IES PARTI
to participate i
CEPT THE
OWED TO P
___________
ietnamese Eu
ardian authori
erous and han death, to all
te in this A
even death w
d physically fi
es, employee
rticipant whic
armless VEY
nd representat
tivity, includi
ASE, liability
t/Participant's
employees, a
l, injury, acci
perty during
oard's, trustee
other than fra
Y ACTIVITI
lly aware of t
the risk of da
___________
__________
NH THYouth Soci
ES PARTIUMPTION
tudent/Partici
IPATION F
in this Activit
ISKS DESC
RTICIPATE.
___________
haristic Yout
es my partici
zardous and,individuals w
ctivity I agr
ich may be as
it, capable, abl
s, agents, coac
is incident to
, VEYS gov
ives free fro
ng all related
means all clai
parents, guar
gents, coache
ent, illness, o
tudent/Partici
s', employees'
d, willful mis
S PARTICIP
e legal conse
mage from m
__________
___________
VIT NAty in the U.S
CIPATIONOF POTEN
ant is an adu
ORM must
y. STUDENT
IBED IN TH
_______ ("S
Society in th
ation in this a
y its very natho participate
e to ASSU
sociated with
e, and willing
hes, teachers,
and/or associ
erning board
any and all
activity such
ms, demands,
ians, heirs, e
s, teachers, vo
r death, or bec
pant's particip
, agents', coac
onduct or vio
ATION FOR
quences of thi
participation
Phone Numb
Date : _____
TI HO.A.
FORMIAL RISK A
lt, no signatu
e on file
/PARTICIPA
IS AGREEM
tudent/Partici
e U.S.A. (VE
ctivity.
ure pose the pin such Activi
E ALL LIA
participation i
to participate
volunteers, or
ted with prep
("Board"), an
liability arisi
as games, pr
losses, causes
xecutors, adm
lunteers, and
ause of any lo
tion in the A
es', teachers',
lation of the la
M and that I
s agreement,
in the Activity
er : ________
___________
K
GREEMEN
re of parent o
ith the Loc
NTS AND/O
NT SHOUL
ant") wish t
S) (hereinaft
otential risk oty.
BILITY AN
such Activit
in this Activit
representative
aring for and/o
each of thei
g out of or i
ctices, trainin
of action, suit
inistrators, an
representative
s of or damag
tivity that ma
volunteers', o
w.
understand th
nd agree to it
.
__________
___________
r
r
f
s
r
r
n
s
e
r
e
s
-
8/3/2019 Permission Slip for Hao Hung III
4/5
P
_______P
________C
_T_______
_________P
aperwork/
PERMISSIVAP/WAITNTT BINDPENCIL/PMATERIACOOKINBIBLE (AT
ersonal Su
BACKPASLEEPINGAN EXTRPILLOWFLASHLIGEXTRA BATOOTHBRTOWEL
lothing:
NG PHAO/TENNI3-4 SHIRTS2-3 PANT1-2 STURD2-3 JACK2-3 PAIRS3 UNDER1-2 PAJA
iscellaneo
SNACKSEXTRA WBASIC FIRSUNBLOCNEOPRENEXTRA TOWALKIE T$5 FOR SANY MED
lease note
4835 S. Pea
Please
eneral/Te
N SLIP FOER SLIP F
ERS WITH BENS FOR SKIT
UTENSILSLEAST ONE
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our compl
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hecklisn (includin
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-
8/3/2019 Permission Slip for Hao Hung III
5/5
Locatio
Entranc
Entranc
Campsi
Allen 70
Quiet H
Drive Ti
Transpo
Visitor C
Springd
Directio
In
E R S
is
Nearby:
S H S
Addition
Pt
TU
HName: Zi
: South En
Fee: FREE
e: Watch
2-769-7791
urs: 10:00
e: Approx
tation insid
enter from
le, UT.
s from Las
te rsta te 1xit 16 Rigight to sta yay on Sta t
ahead on
pringdale,
urricane,
. Geo rge ,
al Advice :
lease DO
e top of th
use yo ur
T or Wat
o Hn National
ranc e nea
for Vete ra
an Camp
be fore ent
m-8:00am
. 2.5 hours
e the Park:
7:00am to
Vegas, Ne
Northt on Sta teon Sta te
e Route 9
the right.
Uta h is the
ta h is the l
Uta h is the
OT fo llow
e p ark whi
PS or Go
hman Ca
ngPark, Sprin
r Zion C an
n s Day We
round G
ering the c
Zion Shutt l
10:00pm; Z
vad a (163
Route 9 Eaoute 9 Easast into Zio
c ity direc tl
ca tion of
largest c ity
irec tion o
c h is abo u
gle Ma ps,
pground
III Ingd a le UT
on Visitor
ekend (No
ated with
ampgroun
e Bus Syste
ion Shut tle
miles):
st (33 milesin La Verk
n National
outside o
he nea rest
nea rby (a
your GPS
a 45 minu
ente r Sou
as your d
orm
enter
rma lly $25
eservatio
d )Site # B
m runs by
Bus Servic e
)in, Uta h (2Park, the Z
f the South
Walmart (
bout 45 mi
or Goog le
te d rive a
th Zion Par
stination
atio
pe r vehic l
s Only (Ple
02, B004, B
very 10 mi
a lso run a
miles)ion Ca nyo
Entrance
ab out 20
nutes awa
Ma ps; it w i
ay
k Bouleva r
)
ase c a ll Tr.
006, B041,
nutes from
round
Visitor Ce
inutes aw
)
ll take you
, Springda
B042
the
nter
y)
to
le,