2022 Universal Permission Slip

I, (Parent/Guardian named below), give (student named below) permission to travel on Wednesday nights and events in youth leader’s vehicles.

Student's name

Parent/Guardian name

Further,

I, (Parent/Guardian named above), give Raintree Community Church permission in the case of emergencies the the following medical permission (below):

MEDICAL

During Youth Events I hereby give permission to administer the below if my child shall need any of the following to administered by an adult (please check any that is permissible):

Select any that are permissible Acetaminophen (Tylenol) Ibuprofen (Such as Advil) Antacid (Tums)

Primary contact name

Primary contact Phone

Emergency contact name

Emergency contact phone

Parent/Guardian Email

This address will receive a confirmation email

Date form completed

Description

Please fill out this form and click submit.

2022 Universal Permission Slip

Description

Please Fix the Following