Communication Permission Form for High School Age Youth
Email address *
High School Youth ONLY- Do you give permission for UUCM staff and youth advisers to communicate directly with youth? N/A - my child is NOT participating in the High School Youth Group
Clear selection
Parent/Guardian Name *
Youth Name *
Youth Cell Phone
Youth's email address
I give permission to the adult advisers of the UUCM high school youth group to communicate or interact with my child in the following way (Check all that apply): *
I want to be notified of all one on one meetings with my child *
I understand that I am responsible for making arrangements to transport my youth to and from UUCM events *
I understand that I am responsible for deciding with whom my child may ride in a car or give a ride to and for maintaining an understanding about this with my child. Specifically, I understand that neither UUCM nor the adult advisers are responsible for monitoring how my child gets to and from UUCM events *
Please include any other restrictions or concerns below:
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