Permission slip

Permission slip

 

ACTIVITY FEE IS $25 DOLLARS PER PERSON. THANK YOU…

 

_______________________ HAS MY PERMISSION TO ATTEND THE CAMPING TRIP TO SANDY HOOK NATIONAL PARK IN ATLANTIC HIGHLANDS, NJ FOR THE WEEKEND OF SEPT. 29-OCT. 1, 2006. WE WILL BE DOING A BEACH CLEAN-UP (COUNTS FOR COMMUNITY SERVICE), GOING ON A BIKE RIDE (BYO) AND TENT CAMPING SO PREPARE ACCORDINGLY.

 

I WILL BE ABLE TO DRIVE/ STAY

 

PLEASE INDICATE ANY ALLERGIES OR SPECIAL NEEDS INCLUDING MEDICATION:

_______________________________________________________________________________

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I HEREBY GIVE MY PERMISSION FOR MEDICAL TREATMENT TO BE AUTHORIZED IF NEEDED IN ACCORDANCE WITH THE WAIVER OF RESPONSIBILITY SIGNED FOR AS PARENT OR GUARDIAN. THE INFORMATION ON THE MEDICAL FORM IS STILL ACCURATE:

 

PARENT OR GUARDIAN (SIGN)_____________________________ DATE _______________

PRINT YOUR NAME __________________________ E-MAIL ADDRESS _________________

DAYTIME PHONE # _______________________ EVENING PHONE # ___________________

 

 

 

***DEADLINE FOR PERMISSION SLIPS & FEES: THURSDAY, SEPTEMBER 21ST***

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