permission form

Dear Parent or Guardian, Your child is going on a field trip. Please read the information at the top of this form, then sign and return the permission slip at the bottom of this form by April 15, 2012.

S.O.C.K. Trip Information: Date: 4/20/2012 thru 4/22/2012 Location: Camp Hope in Carmel, New York Purpose: Mission Trip Cost: Free

Camp Hope is a facility for children with special needs. We will be helping to create a sensory room for children with sensory problems.

( Every thing is provided for by the camp) Means of Transportation: Carpool of vehicles driven by parents/youth leaders of The S.O.C.K. This event begins at 5:30 p.m. & ends at 10:00 p.m.
**Please bring your child to Cinema World @ Lincoln Mall for 5:30 p.m. on the day of the event and please be sure to pick up your child at the church by 10 p.m. Friday, March 30.

Save this part of the form for future reference.

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Sign this part of the form and return it to Craig Alix.

_______________________________________ has permission to attend a field trip to:

The Hunger Games @ Cinema World on March 30, 2012

Enclosed, please find cash/check in the amount of $12.00 to cover the cost of the event. I give my permission for ________________________________________ to receive emergency medical treatment. In an emergency, please contact: Name: ___________________________________ Phone: ______________________ Parent/Guardian Signature: ______________________________ Date: ____________