Cost Permission Form

Dear Parent or Guardian,

Your child is going on a youth trip. Please read the information at the top of this form, then sign and return
the permission slip at the bottom of this form by ____July 10, 2013______.
Youth Trip Information:
Date: _______ July 10, 2013____________________________________________________________
Location: ____Velvet Ridge Church of God_________________________________________________
Purpose: ___Eddie James Concert_______________________________________________________
Cost: ____FREE___________________________________________________________________
Means of Transportation: ____Church Van_________________________________________________
Leave church: _____5:00 pm_______________ Arrive back at church: ____late_____________
Special Instructions: __________________________________________________________________
__________________________________________________________________________________
Save this part of the form for future reference.

Cut here-------------------------------------------------------------------------------------------------------------------- Cut here

Sign this part of the form and return it to your child's teacher.

_____________________________________________________ has permission to attend a youth trip

to
___Eddie James Concert_____________ on __________July 10, 2013____________ from
_________5:00 pm________________________ to ________late_______________________.
I give my permission for ________________________________________ to receive emergency medical
treatment. In an emergency, please contact:
Name: _________________________________________ Phone: ______________________________

Parent/Guardian Signature: ___________________________________ Date: _____________________