YOUTH CONVENTION

Morrisville Youth Trip / Activities Permission Form
Child's Full Name*

First NameLast Name
By checking below you give permission for your child to attend the following activity :

Youth Convention
Price
Exact amount will be known with final headcount
Departure/Return Site
Date of Trip
Departure Time
Return Time
Mode of Transportation
I, the parent/guardian of the student named above, hereby give permission for my child to take part in the trip described above.
Emergency Contact Name:*

First NameLast Name
Phone Number (1)*

Area CodePhone Number
Phone Number (2)

Area CodePhone Number
Additional Contact

First NameLast Name
Phone Number (1)

Area CodePhone Number
Phone Number (2)

Area CodePhone Number
E-mail
Signature of Parent/Guardian*

Use mouse, stylus or finger to enter signature depending on your device!! Clear
Printed Name of Parent/Guardian*

First NameLast Name
Date*

MonthDayYear
Should be Empty:

Morrisville Youth Trip / Activities Permission Form