Black College Expo Permission Slip

Dinner & Christmas Lights Permission Slip

December 13, 2025 | 5PM
Event Details

Exciting news! The Nichols’ family has graciously opened their home for a meal and fellowship. Our field trip will include a visit to see Christmas lights in Chino. If your child needs transportation, please let us know. We kindly ask that you do not drop off your youth and leave. The journey to see the lights involves a 3-mile walk, so we need parents to provide transportation. Thank you!
Participant details
Participant Name*

First NameLast Name
MaleFemale*
Age*
Transportation

First Come First Serve (Only 9 Spots Available)
Transportation Needed (Leave St. Stephen at 4PM)*

YesNo
Medical and transport information
Additional information/updates for the Event Organiser to be aware of? (please detail any current medical or other needs)
Consent
I have noted the information and give permission for my child to participate in the above event. I also confirm that the information provided on the Parental Consent form is current and correct unless updated above.
Parent/Legal Guardian Name *

First NameLast Name
Relationship to the Member
Phone Number
Please enter a valid phone number.
Parent/guardian's signature*

Clear
In Case of Emergency
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Relationship to the Member
Should be Empty:

Dinner & Christmas Lights Permission Slip