Expanding Opportunities

Service Journey to Kenya 2007

Permission for Minor


I give my permission for my child, _____________________, age __________ to participate in

the _____________________________activity of Expanding Opportunities


from __________________ to _______________.

I give my permission for Expanding Opportunities and its staff to provide medical assistance as necessary.

I give my permission for the treatment of my child by any medical personal necessary.

I give my permission for the transport of my child to and from such treatment by the most expedient means.

I have signed the liability waiver and hold Expanding Opportunities harmless.




___________________
Date


_______________________________________
Signature of parent or guardian


_______________________________________
Print Name
Service Journey Home Page Service Opportunities Schedule
Printable Application form Liability Waiver Permission for Minor
For General Information

For more Information:
Call 1-888-760-7943; 1-207-722-3708

Email: info@expandingopportunities.org
Visit: www.exop.org