This will be adult supervised and will include a study hour and an hour of games/hangout

The cost is by a suggested donation of $3 per person or $10 per family.

Musicianship and Worship Skills

In order to be able to participate in these activities during the 2008 – 2009 school year, all participants will need this permission slip completed and turned in to the Youth Director at St Andrew Presbyterian Church before October1st.

I hereby, give consent for to participate in the St Andrew Wednesday Activities. I understand that I am responsible for my child’s transportation to and from St Andrew Presbyterian Church.

Although I understand that St Andrew Presbyterian Church will make every reasonable effort to provide a safe environment, I am fully aware of the dangers and risks inherent in participating in these activities which may involve physical injury or other consequences. I will not hold St Andrew Presbyterian Church or any of the staff or volunteers associated with these avctivities responsible for any injuries, damage, or personal loss incurred while participating in the program activities.

I do/do not (please circle one) give permission to St Andrew Presbyterian Church to use photographs of my child in its public displays or media releases. I understand that these photographs will not be sold or used for commercial purposes.

We will encourage only positive means of communication that honors others and we will discourage harmful language and action, including put-downs or yelling. Consistent negative behavior will be discussed with you and your child and may result in dismissal from the program. No drugs or weapons are allowed on the premises. I have discussed appropriate behavior with my child.

Address of Parent:

(over)

Emergency Contact #1 (name/phone)

Emergency Contact #2 (name/phone)

Medical/Other Concerns