Youth | Wednesday Permission Form

PERMISSION IS REQUIRED TO PARTICIPATE IN THE Wednesday YOUTH PROGRAM:

Name of School:

School Address:

School Phone Number:

Student Name

Parent or Guardian:

Parent Phone Number

Permission

Bus transportation is provided only to Gifford and Storm Grove Middle Schools. If your youth requires transportation please note that bus space is very limited and seating is determined by order of registration. I give permission to First United Methodist Church to pick my child up from the above school and transport he or she to First United Methodist Church to participate in the Wednesday Youth Program. If my child is absent from school on Wednesday’s I will contact Kristen Britt, Youth Director at 562-1900 ext. 50 or at 532-8848 to inform her not to pick my child up from school. Parent/Guardian Signature:

Date:

Payment

I understand there is a cost to cover transportation and snacks. This can be paid per semester $125 or by year $250. This cost will only cover food, transportation (if necessary), use of printers and computers. On Early Release days we will go on local trips and additional fees will be collected.