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Jr. & Sr. Youth Permission Slip
The undersigned hereby requests and gives Trinity Lutheran Church permission to have my child, (child's name)
______________________________ , attend (Youth Activity)
______________________________ , on (date)
______________________________ , and with this signed agreement, the undersigned absolves the leaders, Trinity Lutheran Church, and any and all members of its governing boards of any responsibility for the safety, welfare, health and well-being of the child named above, beyond such matters as may be called reasonable care for youth in the custody of a leader and subject to the leader's clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above named youth during the time of the specified activity.
NAME OF YOUTH:
________________________________
NAME OF PARENTS:
________________________________
EMERGENCY PHONE NUMBER:
_________________________________
LIST ANY MEDICAL CONCERNS:
______________________________________________________
PARENT SIGNATURE DATE
__________________________________ ___________
__________________________________ ___________ |
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Jr. & Sr. Youth Permission Slip
The undersigned hereby requests and gives Trinity Lutheran Church permission to have my child, ______________________________ , attend all monthly Jr. & Sr. Youth Activities for an entire calendar year and with this signed agreement, the undersigned absolves the leaders, Trinity Lutheran Church, and any and all members of its governing boards of any responsibility for the safety, welfare, health and well-being of the child named above, beyond such matters as may be called reasonable care for youth in the custody of a leader and subject to the leader's clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above named child during the time of the specified activity. (Specific activities may require extra permission slips.)
NAME OF YOUTH:
________________________________
NAME OF PARENTS:
________________________________
EMERGENCY PHONE NUMBER:
_________________________________
LIST ANY MEDICAL CONCERNS:
______________________________________________________
PARENT SIGNATURE DATE
__________________________________ ___________
__________________________________ ___________
__________________________________ ___________
__________________________________ ___________
__________________________________ ___________
__________________________________ ___________
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Sunday Morning ( 9:30a.m.-10:30a.m.)
Bible class ( 9:30a.m.-10:30p.m.)
