Parental or Guardian Permission and Medical Release

I give permission for my child/youth to participate in the activity

listed above and authorize the adult leaders supervising this activity
to administer emergency treatment to the above-named participant
for any accident or illness and to act in my stead in approving nec-
essary medical care. This authorization shall cover this activity and
travel to and from this activity.
Activity
Ward Stake
Date of birth
City
Date
Home telephone number
Business telephone number
State/Province
Participant
Participants parent or guardi an
Address
Medical Information
Does the participant have any of the following:
Speci al diet Allergies Medication Chronic/Recurring illness Surgery or a serious illness in the past year Physical conditions that limit activity
If yes, expl ain below. Use back if more space is needed.
Parent or guardi ans signature
6/98. Printed in the USA. 33810
Date
Parental or Guardian Permission and Medical Release
I give permission for my child/youth to participate in the activity
listed above and authorize the adult leaders supervising this activity
to administer emergency treatment to the above-named participant
for any accident or illness and to act in my stead in approving nec-
essary medical care. This authorization shall cover this activity and
travel to and from this activity.
Activity
Ward Stake
Date of birth
City
Date
Home telephone number
Business telephone number
State/Province
Participant
Participants parent or guardi an
Address
Medical Information
Does the participant have any of the following:
Speci al diet Allergies Medication Chronic/Recurring illness Surgery or a serious illness in the past year Physical conditions that limit activity
If yes, expl ain below. Use back if more space is needed.
Parent or guardi ans signature
6/98. Printed in the USA. 33810
Date
Fresno California Stake
You ng Women Camp
July 28-Aug 2 2014
Permission Slips
to be turned in to
Ward YW
President by
JULY 6th
CONDUCT AT CAMP
I will abide by the Church Standards as outlined in The Strength of the Youth pamphlet.
X_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ X_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Young Woman Signature Parent signature
T-SHIRT ORDER
NAME:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _WARD_ _ _ _ _ _ _ _ _ _ _ _ _
SIZE: S M L XL XXL (These are adult sizes)
CAMP LEVEL: 1st Yr. 2nd Yr. 3rd Yr. 4th Yr. Jr.YCL Sr.YCL Staff
YW CAMP July 28-Aug 2, 2014
Fresno California
X
Parents & Girls- make sure to sign on all X!s !
X_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Bishop Signature