St Columba Van Consent Form
Student Details
Name *
Address *
Phone number *
Medical Condition *
School Year *
Parent/Legal Guardian Details
Name *
Relationship to Student *
Address *
Phone number *
By submitting this form, I understand that my child will be travelling in the St Columba Youth Van. In the event of an emergency, I have given permission for the youth leader to act in the safety interests of my child. I understand that every attempt will be made to contact me first before any decision is made regarding treatment or medication. In addition, I agree that any vandalism or damage done to the van that is determined to be the fault of my child will be repaired and paid for by my child/me.
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