PERMISSION FORM

I (We) the parent(s) (guardian) of ______________________________ give permission for him (her) to attend the following function:

___________________________________________ on (date) _______________.

I (We) understand and agree to all arrangements made for the above function. I (We) hold harmless St. John's Lutheran Church, its agents and employees, from any liability arising from the above function. I (We) authorize St. John's Lutheran Church's Youth Ministry leaders, as agents for me (us), to provide transportation for my child and consent to all necessary medical and/or dental treatment consistent with the executed Medical Authorization and Information Form signed by me (us) and on file with St. John's Lutheran Church.

DATE _______________________

SIGNATURE ___________________________________ (PARENT/GUARDIAN)

CODE OF CONDUCT I agree to follow church rules and participate in activities, showing respect for God, leaders, each other, and property. If I am excessively disrespectful, I know that I may have to call my parents and have them pick me up from the activity site. No warnings will be given for vandalism or the possession or use of alcohol or other drugs, tobacco, or weapons. That will result in an immediate call home to remove me from the event.

Student Signature __________________________________________