PARENT PERMISSION SLIP

I GIVE PERMISSION FOR (child's name)

TO ATTEND THE YOUTH ACTIVITY TO (name of activity)

ON (date) .

I GIVE THE YOUTH COMMITTEE/COUNSELORS OF THE LUTHERAN CHURCH OF THE

TRIUNE GOD PERMISSION TO ADMINISTER FIRST-AID AND/OR TO SECURE MEDICAL

TREATMENT FOR MY SON/DAUGHTER IN THE EVENT OF A MEDICAL EMERGENCY.

I UNDERSTAND THAT THE LUTHERAN CHURCH OF THE TRIUNE GOD IS SPONSORING

THIS ACTIVITY AND THAT CHRISTIAN CONDUCT IS THE RULE OF BEHAVIOR EXPECTED

OF MY CHILD.

Signature of Parent / Legal Guardian

Contact Name and Phone #

Date