IF YOU ARE UNDER AGE 18: ADDITIONAL SIGNATURES ARE NEEDED

THIS PAGE IS TO BE FILLED OUT IF YOU ARE 14 YEARS OLD.

   

MY FULL LEGAL NAME IS________________________________

 

 

If you will be 14 years old at the time of this trip…
  • You must come with a parent, guardian, or other responsible relative over the age of 25.

If you are 14 years old and coming with your parent or guardian, this parent or guardian must sign:

 

 
  • Your accompanying parent or guardian must sign below.

 

I will be on this trip and will take full responsibility for my teen’s health, dress, conduct, safety, and well-being while on this mission trip. I have read and agree to enforce the Conduct and Dress Code.

 

X______________________________________________________

  signature of accompanying parent/guardian                  date                              

If you are 14 years old at the time of this trip and are coming with a responsible relative (over age 25), other than your parent or guardian, we must have these signatures:

 

 

 

 

 

(NOTARY SEAL)

 

 
  • Must have the signature of the relative, over the age of 25, who will be on this trip with you:

 

I will be on this trip and take full responsibility for this teen’s health, dress, conduct, safety, and well-being while on this mission trip. I have read and agree to enforce the Conduct and Dress Code.

 

X_______________________________________________________

  signature of accompanying relative    relationship to teen     date                       

 

AND

  • The NOTARIZED signature of your parent or guardian giving permission for you to go on this trip.

 

I give permission for my child,________________________, to be on this mission trip under the full supervision of the adult relative, over age 25, listed above, with whom I am entrusting my child’s care in the matters of health, dress, conduct, safety, and well-being while on this trip. I have read the Conduct and Dress Code, and understand that my child may be sent home at my expense if the Code is not followed. I agree to reimburse NiCE Foundation for any additional expenses that they incur as a result of my child not following the previously mentioned code.

 

X________________________________________________________

          signature of parent or guardian                                              date