Outing Permission Form
I, _____________________________________________ (Parent/Guardian Signature), give permission for, _______________________________ (child's name) to participate in Lombard Gospel Chapel's youth outing to ____________________________________________ (place) on ________________________ (Date).
I also give my consent for Lombard Gospel Chapel to arrange for emergency medical/dental care and treatment necessary to preserve the health of my child. I authorize the rendering of such care, by members of the hospital staff, as deemed necessary in their professional judgement. I understand i will be called first.
I can be reached at ___________________________ (phone number) in an emergency.
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