GCC Summer Adventures - 📍 Stop 1: Nature & Animals - Elk City Lake & Independence Zoo

Main Contact Information

Name

This address will receive a confirmation email

Phone

Send Reminder Via Text Message Email Both None

Total Adventurers

Number of Adults Attending

Number of Students Attending

Total Needing Transportation

Please List the Names of Everyone Attending (Please List Student's Grade Just Completed)

Special Instructions (Allergies, etc)

Medical Consent (Required to send Student without Adult)

I hereby give my consent for my child to attend this off-site event organized by GCC youth sponsors. I understand that while every precaution will be taken to ensure their safety, there may be unforeseen circumstances. In case of a medical emergency, I authorize the youth sponsors to seek necessary medical treatment for my child. I will ensure that the provided emergency contact information is accurate and up to date. I release GCC youth sponsors from any liability in the event of injury or medical treatment.

I have read and agree to the above medical consent.

Description

5/24/2025

Schedule:
Departure from Erie: 8:30 am
Departure from Galesburg: 9:00 am
Return to Galesburg: 2:30 pm
Return to Erie: 3:00 pm

GCC Summer Adventures - 📍 Stop 1: Nature & Animals - Elk City Lake & Independence Zoo

Description

Please Fix the Following