RETREAT PARENT PERMISSION FORM
 
THIS FORM MUST BE COMPLETED BY PARENT OR GUARDIAN
 

First name:
Last name:
Home Phone:
Cell phone
Address 1:
City:
State:
Zip code:
Parent / Guardian Name
Email address:
Emergency Contact
BY CHECKING THIS BOX, YOU HAVE INDICATED THAT YOU ARE THE PARENT/GUARDIAN OF THE CHILD LISTED ABOVE AND AGREE TO YOUR CHILD ATTENDING THE RWOM RETREAT MAY FRIDAY 11TH, 2012 TO SUNDAY, MAY 13TH, 2012. AS PARENT/GUARDIAN YOU ARE RESPONSIBLE FOR DROPPING OFF YOUR CHILD AT THE HOTEL AT THE BEGINNING OF THE RETREAT AND PICKING YOUR CHILD UP FROM THE HOTEL AT THE END OF THE RETREAT. PARENT MUST PAY THE $25 RETREAT FEE AT CHECK IN TO RICK SMITH IN CASH. WHILE ATTENTING THE RWOM RETREAT IF ANY HOTEL PROPERTY IS DAMAGE OR STOLEN BY YOUR CHILD, THE PARENT WILL BE HELD RESPONSIBLE TO HANDLE THAT FEE AS WELL.
  

The $25 RETREAT FEE MUST BE PAID TO RICK SMITH IN CASH

JUNIOR ROLLING WHEELS OF MEMPHIS RETREAT
Home | ADRENALIN AWARDS NOMINEES | ROLLING WHEELS OF MEMPHIS DOCUMENTARY VIDEO | 3 Big Days/ UP DATES/ ZERO TOLERANCE ACT | SPIRIT MONTH | TV | WE BEEN WAITING ON YOU | Contact & Joining Information | ON LINE CREW | Membership Form | HOST Hotels Information | HICKORY HILL COMMUNITY CENTER | Facilities | DIRECTIONS | Advance & Regular Tickets Sell | BLUFF VENDOR | DJ's FOR THE BLUFF | 2015 Trophy Largest Uniformed Group | RWOM 2009 Dogg Pound Party | RWOM PURPOSE & MISSION | ROLLING WHEELS OF MEMPHIS HISTORY | RWOM HISTORY P2 | Christopher "POPs" Rooks Scholarship | UP COMING EVENT | JUNIOR ROLLING WHEELS OF MEMPHIS RETREAT | NEWS | Member Salute | SPOT LIGHTING OUR OWN | Special Thanks........

BRIDGING THE GAP IN GROUP UNITY AND GAIN GROUP KNOWLEDGE

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Some of these young men are crossing over from being on line for 6 weeks into Rolling Wheels of Memphis Toe Jamming Membership. As we all know all of our member can't be toe jammers but all can join our Rolling Wheels of Memphis Club. There no level of skating requirement to join our club.  RWOM will teach you to increse your level of skating if you desire to and have a learning heart with a pair of skates. 

ALL FOOD WILL BE SUPPLY BY RICK SMITH
 
BREAKFAST: PANCAKES, SAUSAGES, BACON, EGGS, GRITS, TOAST, JELLY, MILK, ORANGE JUICE
 
LUNCH: PIZZA, NACHO, HAMBURGER, HOT DOGS, FRENCH FRIES, CORN DOGS, BEVERAGE, CAKE, COOKIES, POTATOES CHIPS
 
DINNER: LASAGNA, CHICKEN, POTATOES, GREEN PEAS OR GREEN BEANS 
 
OTHER FOOD ITEMS MAY BE ADDED OR SUBSTITUTED.
 
PARENT MAY SUPPLY FOOD ITEMS IF CHILD IS ON SPECIAL DIET !

RETREAT INFORMATION 
 
WHO INVITED: RWOM MEMBERS
      
TO WHAT: THE RWOM RETREAT
          
WHEN: DATE FOR NEW UPCOMING RETREAT WILL BE POSTED
 
 TIME: FRIDAY 4PM - SUN. 12:00 NOON
 
COST: $25 TOTAL PER CHILD FOR BOTH NIGHTS
 
WHERE:  EXTENDED STAY AMERICA, 6520 MT. MORIAH  

ITEMS TO BRING TO RETREAT
 
SLEEPING CLOTHES, PILLOWS, SLEEPING BAG, BATHING ITEMS, TOOTH PASTE & BRUSH, COMB/BRUSH, DEODORANT, SOAP, GREASE, LOTION, GEL, ETC.. A CHANGE OF CLOTHES FOR SATURDAY ACTIVITY, MONEY FOR SKATING ($6)
 
OPTION ITEMS (CELL PHONE, GAMES (QUIET ITEMS), MUSIC AND EAR PLUGS, BOOKS (YEA RIGHT, LOL),