Student Permission Form

I, the parent or guardian of the children listed below, do hereby grant permission for these students to participate in the activities hosted on the dates listed below. I also grant permission for my child to attend small group activities that may occur off of church property provided that a notice (digital or in print) is posted two weeks prior to the small group event occurring.

I understand that Maywood's child policies and procedures will be followed and I acknowledge that I have submitted a Medical Release Form, providing information to be used in the event any medical decisions need to be made.

Date	Activity	Location
January 17-20	Nexus Winterfest	Silver Birch Ranch, White Lake, WI
February 2	H20 and Nexus Super Bowl Party	TBD - within 15 miles of church
February 21-23	H20 and Club 45 Winter Retreat	Camp Awana, Fredonia, WI
May 11	High School Senior's Dinner Out	TBD - within 15 miles of church