PO Box 3399 Kingshill, VI 00851-3399 (340) 643-1710 (T) E-mail:

Parental Consent Form
Permission is hereby requested for your child to participate in the 100 Kids and Culture tour of Mount Washington Plantation on Saturday, March 12, 2010. We will take a historic tour of St. Croix’s best preserved sugar plantation located in Frederiksted. Kids are to be dropped off at 8:30 am and picked up at 1:00 pm at the Buddhoe Park in Frederiksted. We are scheduled to start the tour at 9:00 am, therefore, we request that your child be dropped off on time because they will be transported to the location of the tour. Space is available on a first come first serve basis. For more information contact Rosalind Estrill at 998-1252. Fax consent form to (340) 772-3864.

Date: Time:

Saturday, March 12, 2011 8:30 AM – 1:00 PM

Age Range: 8- 14 Attire: 100 Kids and Culture T-shirt, Long Pants, Sneakers Lunch will be provided

I __________________ hereby grant permission for my child(ren) _________________ to participate in the 100 Kids & Culture activity. I hereby voluntarily waive any claim against the Generation Now! Inc., for any or all causes which may arise in connection with this activity. T-shirt size _______________ Contact Telephone Number: ________________(H) _______________________(C) Parent’s Signature: ____________________________ Date: ________________

Generation Now!, Inc. “Our Future Starts Today!”

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