HRC Permission Slip

 

 

Event: ___________________________________________________

 

Date: ____________________________________________________

 

Place: ___________________________________________________

 

I, the parent/guardian of _____________________________________________, give permission

for my child to attend this outing with the Hungarian Reformed Youth Fellowship.

 

The Church and/or it's leaders will not be held responsible for any injuries or worse if such circumstances arise.  I believe that the leaders will do their best to return my child to me in the same physical condition in which he or she departed.

In the case of an emergency, I will be able to be contacted. I understand that, if there are any medical conditions or limits on my child's abilities, it is my responsibility to inform the leaders of such and of any medications my child must have with him/her.

 

I have read the above statement and agree with its contents.

 

 

 

__________________________________________________      ______________________

Parent's signature                                                      Date

 

Contact Information (please print clearly):

 

Name:______________________________________________________________________

 

Address: ____________________________________________________________________

 

Phone: 1)________________________________  2)_________________________________

 

            3)________________________________

 

 Hungarian Reformed Church  -  180 Home Avenue, Trenton, NJ 08611  -  609-989-9455

 

YOUTH:

 

I, _______________________________, agree to be on my best behavior while away from home on our outing.  I promise to respect the adults to whom I am entrusted.  I promise to be kind to the other youth

with whom I am traveling.  I promise to show that I am a Christian to everyone I encounter along the way.

I especially promise to be very respectful of the facility(ies) at which we will gather and the people who run the establishment.

 

 

_________________________________________________     ________________________

                      Youth's signature                                                           Date