September 13, 2017 @ 6:00 pm – 9:15 pm
Socheat Chum
651-322-5679 ext 209

Middle School Impact – 6:00 – 7:20pm

High School Impact – 7:30 – 9:15pm

Impact Registration Form

  • Medical Release

    I give permission for my child to participate in all aspects of Youth Ministries both on and off site. I understand that every effort will be made to contact me if my child needs emergency medical treatment. I authorize medical personnel of COH staff to secure any medical or emergency treatments as deemed necessary for my child. I or my insurance company will pay for any medical treatment if costs are incurred.
  • Behavior Clause

    In the event that my son or daughter behaves in a manner in which the adult leaders feel it is necessary for him/her to leave an event, I will take full responsibility for cost and arrangements to pick up or send home my son or daughter.
  • Parent Permission

    I give permission for my child's image to be used in any Community of Hope publication, or promotional material including the COH website.