Good Shepherd Youth Ministries

Outing Permission & Release

 

I hereby give permission for my child ______________________________ to participate in specified field trip activities.  I give permission for my child to be transported in the personal vehicles of Good Shepherd Youth Ministries staff or volunteers.  I agree to hold harmless Good Shepherd Youth Ministries, its officers, and/or employees for any accident or injury resulting from my child’s participation.

 

Parent Drivers:

___      No, I cannot drive on this field trip                                                                               

___      Yes, I can drive on this field trip.  My car is insured and well maintained.

 

I have ____ seat belts in addition to the driver.

 

 

Trip information

 

Date:                         date

Time:                         time

From:                        meeting place

 

To:                             destination

Purpose of trip:         purpose

Items to bring:          items to bring     

 

 

_________________________________                  ____________________________

Parent/Guardian Signature                                             Phone number during event

 

_________________________________                  ____________________________

Emergency Contact Person during event                        Phone for emergency contact