Parental
Permission
to Participate in Volunteer
Parkview
I
hereby give permission for my son or daughter (listed below) to participate in
service projects planned by Volunteer Parkview.
I
understand that many of the service projects—such as flower planting at
Mountain Park Park, tutoring elementary school
students, decorating for a foster-children’s Christmas party, cleaning a
section of the Yellow River, helping at the Lilburn Co-op, etc.—take place away
from Parkview’s campus and often after school hours or on weekends.
I
also understand that students who volunteer to help with these projects are
responsible for their own transportation to and from the project sites—either
driving themselves or riding with their own parent, with the parent of another
student, or with a student driver.
I
give permission for my son/daughter to o Ride with an adult chaperone
o Ride with another student
o Drive own car
I
agree to assume responsibility for any unforeseen accident that might occur
during travel or participation in this activity. I also authorize any emergency medical
treatment that may be necessary. I
further recognize that students on school trips must adhere to the same code of
behavior as if they were on the school campus and are to follow instructions of
teachers, sponsors, or chaperones.
o
Have school insurance
o Waive the right to school
insurance
Student
Name: ______________________________ Parent
Name: _________________________________
(Please print) (Please
print)
Parent
Signature: _______________________________________ Date: _____________________
Home
Address:
______________________________________________________________________________
Home
Phone: ______________________________ Business
Phone: ________________________________
Name
of Emergency Contact: _______________________________ Emergency Phone: _________________
Hospitalization
Carrier and Policy Number:
________________________________________________________
________________________________________________________
Describe
any special allergies or medical problems of which we should be aware:__________________________
Describe
any medication your child will be taking, including medicine name and possible
side effects: _________
If
you have any questions, you may contact one of the sponsors at