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Permission Slip

This document is a permission slip and agreement for a youth to attend a youth conference. It contains: 1) The youth agrees to abide by the standards outlined in the Strength of Youth pamphlet and follow the directions of senior leaders and adults at the conference. 2) For liability reasons, the youth will ride with their designated driver to and from the conference. 3) The youth agrees not to bring any electronics or weapons to the conference. 4) Failure to follow the guidelines could result in parents being notified or the youth being sent home from the conference. 5) The bottom section is a medical release form signed by a parent for the youth to participate in the conference.

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0% found this document useful (0 votes)
138 views

Permission Slip

This document is a permission slip and agreement for a youth to attend a youth conference. It contains: 1) The youth agrees to abide by the standards outlined in the Strength of Youth pamphlet and follow the directions of senior leaders and adults at the conference. 2) For liability reasons, the youth will ride with their designated driver to and from the conference. 3) The youth agrees not to bring any electronics or weapons to the conference. 4) Failure to follow the guidelines could result in parents being notified or the youth being sent home from the conference. 5) The bottom section is a medical release form signed by a parent for the youth to participate in the conference.

Uploaded by

kaybogie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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l agree Lo ablde by Lhe sLandards of Lhe Church as ouLllned ln Lhe lor SLrengLh of ?ouLh pamphleL. l wlll
revlew Lhe sLandards wlLh my parenLs prlor Lo aLLendlng ?ouLh Conference Lo be famlllar wlLh Lhem.
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follow Lhe guldellnes for Lhls ?ouLh Conference.
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enLlre Llme of Lhe conference lncludlng Lo and from Cambrla.
l wlll noL brlng any elecLronlcs lncludlng buL noL llmlLed Lo lpods, mp3 players, radlos, Lv's, game boys, and cd
players. l wlll noL brlng any form of weapons or pranks Lo ?ouLh Conference.
noL adherlng Lo Lhe guldellnes above wlll resulL ln parenL noLlflcaLlon and/or parenL requesL Lo plck up youLh
from conference.
1-shlrL Slze: __________ Cne cabln frlend requesL: ____________________________________________
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Parental or Guardian Permission and Medical Release

Activity
Youth Conference, Cambria
Date

Aug 11-13, 2014


Ward Stake


Participant Date of birth Home telephone number
Participants parent or guardian Business telephone number
Address City State/Province


Medical Information

Does the participant have any of the following:
0 Special diet 0 Allergies 0 Medication 0 Chronic/Recurring illness 0 Surgery or a serious illness in the past year 0 Physical conditions that limit activity

If yes, explain below. Use back if more space is
needed.



I give permission for my child/youth to participate in the activity listed above and authorize the adult leaders supervising this activity to administer
emergency treatmen to the above-named participant for any accident or illness and to act in my stead in approving necessary medical care. This
authorization shall cover this activity and travel to and from this activity.
Parent or guardians signature Date

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