Professional Documents
Culture Documents
Address ____________________________________________________________________________
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Name and dosage of any medications that student must take: ___________________________________
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List any allergies that student has, including allergies to medications: ____________________________
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TRANSPORTATION RELEASE:
I give my permission to the bearer of this letter to transport my child to the program events sponsored
by Ketron Memorial United Methodist Church of Kingsport TN, for all programs that take place within
Kingsport TN and immediate surrounding areas. My child is allowed to travel out of Kingsport with the
Youth Program when I have been informed of the specific destination, duration of the trip, and intended
event ahead of time.
Youth will not be allowed to travel with anyone that has not been authorized in writing by the
parent/guardian. In the event that I cannot transport my child to and from the church for meetings or
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special activities, I give permission to allow the following persons to transport my child for me.
Appropriate identification may be asked for if adult leaders do not recognize a person bringing or
picking up a youth at the church.
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My youth, __________________________, may not ride with anyone other than the adult leaders
and volunteers of the youth group. Nor may he/she transport other youth in his/her personal vehicle.
Date _______________________________________________________________________________
PUBLICITY AUTHORIZATION:
I give permission for photographs taken of my child or me to be used for Ketron Memorial United
Methodist Church’s youth program ministries’ publicity, printed or electronic.
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