Field Trip Form St. Rocco

St. Rocco Youth Group PARENTAL PERMISSION FORM FOR FIELD TRIPS Members Name ________________________________ Age_______ Date ____________________ Leaders Name _____________________________________ Group _________________________________ Destination of Trip ______________________________ Date of Trip ____________________________ Type of Transportation __________________________________________________________________ Time Leaving ____________________________ Time Returning _________________________ Type of Clothing: Casual Attire ___________________ Dress Up ______________________________ Lunch: Bring __________ Will Buy ___________ Cost, if any, of Lunch ____________________ PLEASE RETURN THE SECTION BELOW TO SECRETARY OR GROUP LEADER: ------------------------------------------------------------------------------------------------------------------------------THIS FORM TO BE RETURNED NO LATER THAN _________________________________________(Date) I, (we) the undersigned, parent(s), and/or legal guardian(s), of ___________________________________ (Youth Group Member’s Full Name) ________________________________________, (does not have) (has) my/our permission for the minor Youth Group Member named above to attend_____________________________________________________________ (location) on __________________, ______________________________. (day) (date) under the supervision of Group Leader, Pastor, advisors, or volunteer parents. NOTE: In consideration for the volunteer or assigned supervisory services rendered by Group Leader, Pastor, advisors, and/or volunteer-parents, including volunteer transportation provided , the above, St. Rocco Church, St. Rocco School or the Dioceses of Cleveland shall not be liable on account of any personal injury or damage sustained by Youth Group Member. Parent’s Signature __________________________________________________ DATE _____________ INDICATE RELATIONSHIP TO STUDENT ________________________________________________