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.
Are you a…
Will you be…
Have you ever been to a con before? Yes/No
Do you receive the newsletter via snail mail? Would you like to? If so, please see the newsletter editor at the conference or send email.