Students: Have your parents read and complete the bottom portion of this form and return it to:

Eric Waraas c/o Trinity Presbyterian Church

499 Route 70 East, Cherry Hill, NJ 08034, 856-428-2050

OR you can bring it to the next Senior High Fellowship meeting!

Dear Parents/Guardians:

At the bottom of this note is a permission slip for your Senior High Youth Fellowship member. Please complete the form and return it to the church as soon as possible. Your signature on this slip will enable youth to attend and participate in all church-sponsored and related activities: regular meetings held on church property, including lock-ins; regular meetings held in area locations such as parks and restaurants; off-site retreats, hiking, canoeing, and rafting; and holiday parties and celebrations held in members= homes. We will have responsible adults driving youth to and from activities. If your Senior High youth has your permission to drive to any event, we have no objection, but other youth must ride with the adult leaders or advisors unless you specify otherwise on this permission form. Your consent on this form does not include trips to local establishments after meeting hours or to recreational areas for skiing, camping, or paintball games. The youth will have to have your consent for these private activities. If your youth has any special medical/health needs, please indicate that on this form or call me. If you ever have a question or a concern, please contact me.

Sincerely,

Eric Waraas,

Youth Director

Senior High Fellowship Permission Slip

____________________________________________has my permission to attend all church-sponsored activities as listed on their regular schedule and publicized in their monthly newsletter. In case of emergency, I give my permission for the adult leaders in the group to act on my behalf so that my youth may receive any necessary medical care. I release Trinity Presbyterian Church and its leadership from any and all liability for the actions of my child with the expectation that -

- adult supervision is in place at all times

- behavior expectations and limits have been clearly established for my youth

- reasonable precautions have been taken to ensure a safe environment

Emergency contact person __________________________________ Telephone_________________________

Pager or cell phone that we can use to contact you in an emergency _____________________________________

(please circle) You can call me when you need a driver.   Yes     No

(please circle) My youth    may     OR    may not ride with other youth group members who have parental permission to drive to youth group functions. This would include transportation home after an event.

(please circle) My youth     may    OR    may not transport other students in his/her car.

NOTE: If any of the above conditions should change during the course of the year, please notify the Church.

My student has the following allergies or special needs: _______________________________________________

______________________________________________________________________________________

Signature of Parent/Guardian__________________________________________________________________