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Chris MeadersMinister of Students

Cell: 979-0324

cmeaders@mtairybaptist.comwww.mtairybaptist.com

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:_______________________________________