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

October 1-2 H2O Corn Maze & Lock-In Richardson Adventure Farm, Spring Grove, IL
October 8-10 Nexus Fall Retreat Expeditions Unlimited, Baraboo, WI
November 13 H2O and Nexus Leaf Raking Day Various locations around Rockford
December 5 Nexus Progressive Dinner Various locations around Rockford