PERMISSION SLIP
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I hereby give my
permission for __________________________, my son/daughter,
person under my guardianship, to participate in
the below noted activity with St Gabriel's Youth
Ministry. I
understand (s)he will be under the supervision of
Mr. Eddie Nunn, Coordinator of Youth Ministry, as
well as other adult volunteers.
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ACTIVITY:
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PLACE:
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DATE:
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TIME:
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TRANSPORTATION:
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COST:
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PERMISSION SLIP DUE:
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I further
understand that the possession and/or use of ALCOHOL, DRUGS, or NICOTINE
PRODUCTS is PROHIBITED. Violation of
guidelines will result in immediate phone contact with the
parents/guardians. I understand my
responsibility will be to pick up my son/daughter and remove them from the
activity, regardless of the time I am called.
As parent/legal
guardian, I remain legally responsible for any personal actions taken by named
young person.
I agree on behalf
of myself, my child’s other parent if known or living, my child named herein,
or our heirs, successors, and assigns, to hold harmless and defend St.
Gabriel’s, its officers, directors and agents, and the Diocese of San Diego,
chaperons, or representatives associated with the event with respect to any and
all actions, claims or demands that may be made or brought against the parish,
its officers, directors and agents, and the Diocese of San Diego, chaperons, or
representatives associated with the event, arising from or in connection with
my child’s attending the event or in connection with any illness or injury or cost
of medical treatment in connection therewith, and I agree to compensate the
parish, its officers, directors and agents, and the Diocese of San Diego,
chaperons, or representatives associated with the event for reasonable
attorney’s fees and expenses arising in connection therewith.
My child,
___________________________, has my permission to travel by private vehicle
to/from this event.
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_______________________________________________________
(phone number) (parent signature)
________________________________ ________________________________________________________
(date) (print name/relationship)
