Permission Slip – NH/VT YRUU Conferences

 

Name of Youth_______________________

 

Youth: I ______________________(please print) do hereby agree to follow the rules stated below and at the conference.  I understand that if I break a rule I may be asked to leave the conference and/or not to return to the NH/VT YRUU conferences.

 

Signed: _____________________________

 

Parent/Legal Guardian: I _________________________(please print), the parent or guardian of the above conferee have read and understood the rules stated below.  I understand that in the event that my son/daughter/ward fails to abide by these rules, I may be asked to come and pick him/her up at the conference.  In signing this, I give my daughter/son/ward permission to participate in the conference and permission for an adult advisor to seek appropriate medical attention for him/her in case of emergency.

 

Signed: _____________________________

 

Contact Information:

Number the parent or guardian can be reached at: _________________

Emergency contact & number: ____________________________________________

 

Please state any and all medical information (including necessary prescription drugs) that the adults and/or the District Youth Council (DYC) should know about for this conference: _____________________________________________________________

 

 

The Rules:

 

Note: Parents, DRE’s and/or Ministers may be notified in the event of a rules violation.

 

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