Event__________________________
Date/Time_____________________________________________________
Location ______________________________________________________
Details_____________________________________________________________________________________________________________________
Depart
from_______________Time_____Return to_____________Time______
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Permission Form
My
son/daughter, _________________________________, has my permission to attend
(name of event)___________________ at (street location) __________________ in
(town)______________ on (day & date)____________________ at
(time)______________. In case of a
medical emergency, if I cannot be reached, I authorize emergency medical care
for my child. Medical
Authorization Form must be on file with Youth Leader in order to attend this
event. o
I have a medical authorization form on file with the Youth Group leader.
o I need to complete a medical authorization form for my child
(download at www.theworshipcenterCT.org/youth.html).
_____________________________ __________________________
parent signature number
where I can be reached in case
of emergency
Please email the church office before Friday with any allergies or
other pertinent medical information, in addition to listing them on the medical
authorization form kept on file with the youth leader.