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.