Campus Ministry Team Connection Permission Form

The Campus Ministry Team is a ministry of CHREDA. CHREDA governs the Christian components of Fort Saskatchewan Christian School.

The Campus Ministry Team exists to provide student spiritual support. CMT members provide this support by being onsite during certain classes, during lunch and recesses. They also provide one on one connections.

This form is to give your student permission to go offsite with a Campus Ministry Team Member to eat and meet. CMT members can be found on the Campus Ministry Team website.

Student's First Name *

Student's Last Name *

Grade

Parent/Guardian *

First Name Last Name

Phone *

Area Code Phone Number

E-mail *

example@example.com

Food Allergies we should be aware of

I, the parent or guardian of the student named above, authorize the Campus Ministry Team to take my student out for a 1 on 1 connection time at a Fort Saskatchewan restaurant *

Yes No

I understand that the Campus Ministry Team is a ministry of the CHREDA board and not a designated school activity of Elk Island Public Schools *

Yes No

The date I am giving permission for my student to go offsite

The date I am giving permission for my student to go offsite *

Date

Parent/Guardian Names *

Entering name denotes signature

Today's Date *

The CMT member my child will be going with is? *

PERMISSION TO RIDE IN MOTOR VEHICLE

I give permission for my child to be transported in a motor vehicle, driven by an authorized Campus Ministry Team member.

I have read, understood and discussed with my child that:

(1) They will be traveling in a motor vehicle driven by an adult and they are to wear their safety-belt while traveling;

(2) They are expected to respect each other, the vehicles they ride in, and the people they travel with during the trip;

(3) Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects; and

(4) They are to remain in their seats and not be disruptive to the driver of the vehicle.

I recognize that by participating in this activity, as with any activity involving motor vehicle transportation, my child may risk personal injury or permanent loss. I hereby attest and verify that I have been advised of the potential risks, that I have full knowledge of the risks involved in this activity, and that I assume any expenses that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses.

I have read the above section and give permission for my child to ride in a motor vehicle. *

Yes No

If you checked "no" to motor vehicle permission. Do you give permission for your student to walk to a nearby the school location with a Campus Ministry Team Member.

Yes No

Parent's Name (First and last) *

Entering name denotes signature

Today's Date *

Questions, comments...

Grade 5-12 Connection Permission

Section 1: Student Information

Section 2: Permission