Permission Form




	This page was last edited on: Friday, May 23, 2008 03:41:05 PM

Good Shepherd Youth Ministry
Permission Form

Please fill out, Print, and bring with you to Good Shepherd

I give my child,
(name of parent or guardian) (name of child)

permission to attend
(name & place of event)

Time: from to

Date:

In case of an emergency, I can be reached at:
phone

In the event that I can not be reached, I give permission for to be treated. If my child does not abide by the rules of the event, i understand that i will be required to pick up my child earlier than planned.

Signature of parent/guardian: _____________________________________________

Date: ___________________________

Please fill out, Print, and bring with you to Good Shepherd

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Translations provided by InterTran are meant to help assist in understanding the text and
are not to be taken literally.