PERMISSION SLIP FOR YOUTH ACTIVITY

I, ___________________________________________, give permission for my son/daughter ,

_________________________________________, to participate with the North Trident Baptist Church Youth Group in the following activity:

_____________________________________________________

Activity Date: ___________________

Meeting Time/Place: ___________________

Departure Time: ___________________

Return time: ___________________

Transportation Method: ___________________

Cost of Activity: ___________________

I realize every effort will be made to ensure the safety of my child, and do not hold North Trident Baptist Church responsible for any unforeseen accident or injury which may occur.

In the event of unexpected illness or injury, I give permission for the chaperones to administer first aid to my child, and to seek out emergency medical attention should it be necessary.

My child is responsible for adhering to all rules, safety policies, and instructions from chaperones; failure to comply may require that he/she be picked up early from this activity by a parent.

Parent Signature: ___________________________________ Date: ___________________

Phone numbers where I can be reached:

Home ___________________________ Work ___________________________

Cell ___________________________ NOK Cell _______________________

(Next of Kin – if you are unable to be reached)