Gary Church Permission Form for
Outside Activities
Name of Youth/s:_________________________________________________________
I do hereby give permission for my child/ren to attend:
Event:__________________________________________________________________Date:__________________________________________________________
_________Location/Other:__________________________________________________________
I have read, understood, signed, and returned the Youth Group packet (if not, please contact the church office). Signed:
________________________________________ ______________
parent/guardian signature date
________________________________ _________________________________
emergency contact name& phone emergency contact name& phone
Notes/Comments: