Parent Permission/ Consent Form

Field Trips

Faith Lutheran Church

2219 W. Orange Avenue

Anaheim, CA 92804

(714) 535-9654

 

Event(s):

Date:

Depart:                                               Return:

Cost:

 

 

Name:                                                       Birth date:

Permission to Attend:

          I hereby give permission for (name)                                   to attend (event)                                                                         

 

On:(dates)

AUTHORIZATION- MEDICAL AND LIABILITY RELEASE

I, the Parent/Guardian of                                             , hereby authorize the adult leaders in charge to have any necessary medical treatment rendered to my child in the event of an emergency with the understanding that the adult leaders will first make a reasonable effort to contact me.

SPECIAL INFORMATION:

 

(Medical allergies,

Chronic illness, medications or other conditions:                                                   )

 

SIGNATURE:                                                               DATE: