Parent Permission Form For Field Trip Participation

Dear Parent or Legal Guardian:

Your son/daughter is eligible to participate in a Youth Group sponsored activity requiring transportation to a location away from the Parish Site. This activity will take place under the guidance and supervision of the Youth Minister or adult appointed by the Youth Minister. A brief description of the activity follows:




Parent's Name: (required)

Parent's E-Mail: (required)

Phone number: (required)

Child / Children's Name(s): (required)

Name of Event: (required)

Destination: (required)

Designated Supervisor of Activity: (required)

Date of Departure (*): (required)

Time of Departure: (required)

Anticipated Date of Return (*): (required)

Anticipated Time of Return: (required)

Method of Transportation: (required)

Cost to Youth: (required)

By hitting the 'submit' button below: I hereby understand the following statement of consent and release of liability. As parent or legal guardian, you remain fully responsible for any legal responsibility which may result from any personal actions takes by the named Youth.By pressing the submit button below, you hereby consent to participation by your Youth.in the event described above. you understand that this event will take place away from the Parish grounds and that your Youth will be under the supervision of a Youth Minister or designated adult appointed by the Youth Minister on the stated dates. You further consent to the conditions stated above on participation to this event, including the method of transportation. A confirmation email or phone call will be required in order to complete the authorization.





(*) Depending on your browser, the date can be accepted in many ways. Below are a few examples.

Microsoft Internet Explorer: (YYYY-MM-DD)
2016-01-05

Microsoft Edge with Windows 10: (has the ability to click and select a date, but uses MM-DD-YYYY)

Google Chrome: (has the ability to click and select a date, but uses MM-DD-YYYY)

If problems persist, please email the webmaster (email at the bottom of this page) with the browser you are using.