Permission Slip
Permission Slip
&'( <,=>
?./31881', 9@1A B 9)2,:2/:8 +',)/20)
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.
l furLher agree Lo follow Lhe dlrecLlons glven by Lhe senlor leaders and adulLs supervlslng Lhe conference and
follow Lhe guldellnes for Lhls ?ouLh Conference.
8ecause of llablllLy lssues, l wlll rlde ln Lhe car wlLh Lhe drlver Lo whom l have been deslgnaLed LhroughouL Lhe
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: ____________________________________________
!"#$% '()*+$#,-: ___________________________________________________________________________
.+,-*$ '()*+$#,-: ___________________________________________________________________________
/(0%"1 '()*+$#,-: ___________________________________________________________________________
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