Permission Form

 

The student named below has permission to attend the Nashwauk Alliance Church Youth Event  listed below.

 

Student name: _______________________

Specific Event:_______________________

Date of Event: _______________________

 

In the event that this specific activity requires transportation to and from the event, I grant permission for him/her to ride there and back with an adult driver approved by Nashwauk Alliance Church. I understand that the activities he/she participates in may involve some risk of injury and I agree that I will not hold the Nashwauk Alliance Church or its representatives responsible for any unintentional injury my child may experience.

 

Signature of Parent or Guardian: _____________________________________

Emergency phone number: _________________________________