Permanent Permission Slip

Submitted by Jeni on February 6, 2019 - 4:27pm

Name *

Name of Spouse

Name of Child (ren) *

Please list the names of all your children ages 0-18.

Permission *

By signing my name below, I am stating that my child(ren) may participate in any activities/outings/events, knowing that they all will be fully chaperoned events. By signing my name below, I am also stating that I will not hold Tree of Life Ministries, or any employee, chaperone, or helper liable for any accident or injury my child(ren) may incur during any activities/outings/events.

Authorization *

I give permission for my child(ren) to participate in any, or all, of the fully chaperoned activities/outings/events of Tree of Life Ministries.

Medical conditions/Allergies *

Please list any medical conditions or allergies your child(ren) may have.

Exclusions

Please list any activity/outing/event you definitely DO NOT want your child(ren) participating in.

Medical Decisions *

I authorize a chaperone of any activity/outing/event to make any medical decisions for my child(ren) in the emergency event, when I cannot be reached.

Disclaimer *

This statement (form) is valid until revoked in writing by the person(s) that signed it.

Parent or Legal Guardian Phone Number *

Spouse Phone Number

Contact

Permanent Permission Slip