Parker County Young Marines
From 2003 to Present
Trip Permission Slip
Parker County Young Marines
Permission Slip
My Young Marine _________________________________ has my permission to go to the Still Waters Retreat trip with the Parker County Young Marines for an Overnight Encampment on May 22nd & 23th, 2021.
I will not hold the staff, headquarters, or any part of the Young Marines liable for accidents that could occur. In the event that an accident should occur, please transport my child to (hospital/doctor) ___________________________________
My Young Marine will conduct himself/herself in such a manner that represents the Parker County Young Marines. He/she will dress appropriately, and respond accordingly.
My Young Marine does ____ or does not ____ have allergies.
Please list allergies: __________________________________________________
My Young Marine will ____ or will not ____ be on medication at the time of the above mentioned trip/excursion/encampment.
Please list any Medications: __________________________________________________________
Dosage: ___________________________________________________
Times to be given: ___________________________________________
Parent Contact Information
Name: ____________________________________________________________
Address: __________________________________________________________
City: __________________________________, Texas, Zip: ________
Phone (H): _______________________ (C): _______________________
Parent/Guardian Signature: ___________________________________________________________
Dated this _____________ day of __________________________, 2021
____________________________________________________________________________________