UNIVERSAL PERMISSION SLIP

I, ____________________________________________________     give

                                    (Name of Parent)

permission to ____________________________________________________

                                                (Name of Student)

to participate in St. John's K - 2    3 - 5     6 - 8     9 - 12  LYO & Catechism

                                                    (Circle one)

events from September of 2011 - August 2012. 

In case of emergency, I give the adult sponsors my permission to seek out emergency medical

attention.

My child and I have discussed proper conduct for these events and we both agree that he/she

will follow the rules of the Youth Event.

________________________                           ________________________

       (Signature of Adult)                                   (Telephone Number(s))

________________________                           ________________________

       (Signature of Youth)                                        (Today's Date)

PERMISSION TO DRIVE TO LYO EVENTS - FILLED OUT BY PARENTS OF

                                      16 YEAR OLDS  AND UP

I, ______________________________, give __________________________

          (Name of Parent)                                     (Name of Student)

permission to drive to LYO events.  I understand that the above student is

to be the lone occupant in the car unless transporting siblings with my

approval. Siblings allowed as passengers are:

_______________________________________________________________.

                                (Names of Siblings)

                                                       (Detach Here)

Transportation Policy for LYO Events Off Church Grounds

This policy is in effect for those events when LYO members meet in the church parking lot and

pool rides to travel to an off-site location. 

A.    If a child is less than 57 inches tall or weighs 42 pounds or less, he/she will need a

     special seat for the car whether it may be a child seat or a booster seat.  This seat

     will be provided by the parents.

B.    Children over 57 inches tall or over 42 pounds, and who are also the age of 12 or

     under, must be belted and in the back seat of the vehicle in which they are riding.

C.    An adult, age 21 or older, must drive all vehicles regardless of the age of the

     passengers.

D.    Those students who are licensed drivers may drive themselves to activities off church

     grounds provided they are the lone occupant in their car.  Exception to this is if they

     are transporting siblings with parental approval.  Written parental permission with a list

     of named siblings must be submitted in this instance (See 2nd half of form above.)

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