This page is for Revolution and Surge Parents. Utilize the Rites of Passage to create a memorable experience each year with your middle school or high school student. The Medical Release Form is required for each student that attends Revolution and/or Surge as well as any event during the year.
If you have any questions, contact Youth Pastor Nate Viar, at firstname.lastname@example.org.
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REVOLUTION MEDICAL RELEASE FORM:
Note: Unless medical information changes, this form is good for the 2017-2018 school year.