has my permission to go on the
________________________ (event)
on
______________ (date)
In the event my child becomes ill or is injured while under church supervision; I approve the sponsors taking the following steps:
Contact a parent or guardian of the young person and follow his instructions.In the event that neither parent or guardian can be reached, contact the young persons’ physician and follow his/her instructions.
________________________ (family doctor name)
________________________ (doctor phone)
________________________ (parents name)
________________________ (home phone)
________________________ (work phone)
________________________ (parents signature)
after printing
-parents: copy, paste, and print this post!
