Professional Documents
Culture Documents
Name of Church: First Baptist Church, 1111 E. Hwy 50, O’Fallon, IL 62269
Event: DNow Date: Feb 4-6, 2011
I give consent to adult youth workers of the Church to dispense the following over-the-counter medications to my child
according to the instructions found on the medication should the need arise. (STRIKE THROUGH ANY MEDICATION THAT
IS NOT PERMITTED TO BE ADMINISTERED)
Tylenol (Children’s) Cough syrup Benadryl Cream Pepto Bismo/Mylanta
Tylenol (Adult) Cough drops Benadryl capsules/tablets Imodium AD
Ibuprofen (Adult) Throat spray Neosporin Eye drops (Visine)
Naproxen (Aleve)
Special Instructions and/or restrictions (please include any allergies or dietary restrictions) – Attach a sheet if necessary.
Dress
Students must dress appropriately for the activity or event and in keeping with HIGH Christian ideals. (For example,
NO sleeveless shirts and at minimum finger-tip lengths shorts). It will be up to the discretion of the leaders and/or
Youth Minister to enforce these guidelines.
Cell Phones
MUST REMAIN OFF and used only with permission of Adult/Leader. Cell phones will be held at night and returned
each morning or confiscated if abused.
Media
Christian Music only. (sponsors have the right to make the final decision)
No personal electronics (video games, etc.), unless permission given in advance and only with sponsor’s
approval (i.e. on the bus).
No Television! Don’t even ask!
General Information
Problems following these Guidelines result in one or more of the following:
Loss of privileges for the event
Special duties appropriate for the violation
Next trip spent in leader’s “hip pocket”
Missing the next special event
Parents called & youth sent home
Any damages or restitution will be paid by parents
Further follow up will be made after conferences with all parties (parents included).
I HAVE READ THE EVENT GUIDELINES & AGREE TO ABIDE BY THEM AS STATED.
Student: Parent/Guardian: