Worcester WesleyUMC Youth

Permission Slips

ICE SKATING – FRIDAY

Nov. 20th 7:30-10:00 pm

I give my child, _____________________________, permission to attend the youth group ICE SKATING trip. This trip will cost $10.00 for skate rental and ice time. We will leave from the church at 7:30 and get back at 10 pm. In case of emergency, please seek medical attention for my child. Our health insurance company is ___________________

Policy/Group #_______________________________

Parent/Guardian signature ____________________________________

Contact Info ________________________________