Spring Fling Permission Form & Behavior Expectations

→While attending Spring Fling, which will start at 5:00 PM on Sat., May 17th and end the next morning after breakfast (about 8:00 AM), I agree to the following:

To treat others with respect

To clean up after myself

To respond to reasonable requests from the adults

To tell an adult if something needs their attention

To stick to the bedtime that my parents choose for me

To be willing to get up when the adults awaken me Sunday morning and to eat breakfast by 8:45 AM

Youth signature: _____________________________________

If at anytime the above rules are not met the child may be sent home.

→I give my permission for my child to attend Spring Fling, May 17^th & 18th, 2008 at Prairie Unitarian Universalist Society. I have read the above guidelines and discussed them with my child (children).

Parent signature: __________________________________________________

I can be reached at _________________________________________________

Emergency contact: ________________________________________________

Doctor (name and number) __________________________________________

Preferred hospital __________________________________________________

Special instructions _________________________________________________________________

Allergies ________________________________________________________

I would like my child to get in his/her sleeping bag, ready to listen to a story being read at:

_____ 9:00 PM _____ 10:00 _____12 Midnight _____ No bedtime enforced

Please indicate your child(ren)s food preference:

_____Meat _____Vegetarian _____Doesn’t Matter

→If you have not turned in your permission slip ahead of time, you must bring it with you when you are dropped off May 17^th. If you forget it, your parent will have to come in to Prairie and fill out another one before leaving. Don’t forget that we need to collect $5 from each participant, as well, to cover the cost of the food.

If you are bringing a friend please put his/her name & brief information below. Your friend’s parent will need to fill out a separate permission slip for him/her. They must indicate who is responsible for their child that evening. If you have questions or need Rebecca to send along another permission slip. Please call 608-695-3435 or send an e-mail to youthcoordinator@uuprairie.org

Friend’s name: _________________________________ Phone: ________________

Parent’s name: ___________________________________________________________

Who is responsible for your child? _____________________________________________