Christmas Sleepover 2015 - Specific Authorization Form Dream Team is hosting a Christmas Sleepover! We are meeting at Red Deer Lake United Church on Friday, December 18th for Naked Faith (6 pm) and staying the whole weekend. Pick up is at Red Deer Lake following church at noon on Sunday, December 20th. Pick up for Dream Team is at 3 pm. Cost: $55 Who Can Come: All youth and friends, grade 6 through age 18 Registration: Hand in to your youth leader/Andrew Nicholson/Brenda McKellar (St. Andrews United Church) Make Cheques Out To: St. Andrews United Church Registration Deadline: Sunday, December 13th Questions? Andrew Nicholson (403) 870-6528 Brenda McKellar (403) 850-7874 Name of Participant (Please Print): _____________________________ PARENTAL CONSENT FORM I, ___________________________________, as the legal guardian of __________________________________, give my permission for him/her to attend this Youth Event Christmas Sleepover 2015 on Friday, December 18th 2015 meeting at Red Deer Lake United Church at 6 p.m., with pick up the following day Sunday December 20th, 2015 at noon at Red Deer Lake United Church, under the supervision and responsibility of the leaders and chaperones for this event. I also give my permission for him/her to be driven to and/or from this event by a qualified volunteer driver. I also understand that if any of the rules and/or guidelines set forth by the leaders isn’t followed including SADV rules (NO Sex/Alcohol/Drugs/Violence), then a parent/guardian will be contacted and this participant will be required to be picked up from wherever we are at the time, and at any time of the day or night.

PARTICIPANT INFORMATION Name: _____________________________________ Gender: _____________________________________ Home Congregation: _____________________________________ Buddy Request: _____________________________________ Address: _____________________________________ _____________________________________ Phone: _____________________________________ Cell: _____________________________________ Email: _____________________________________ Grade: ______ AB Health #: _____________________________________ Emergency Contact #: _____________________________________ Emergency Contact #: ___________________________________ Dietary Restrictions (vegetarian, vegan, etc.): _____________________________________ Food Allergies: _____________________________________ _____________________________________ Medical Concerns: _____________________________________ _____________________________________

What should I bring? • **$5 value gift for a gift exchange! • Change of clothes (please bring full body P.J.’s) • Dress for the WEATHER! We will go outside • Water bottles • Personal hygiene stuff • Pillow • Sleeping bag/Air mattress • Clothing drive for My Best Friends Closet:

o Bring any gently used clothing appropriate for teen girls including shoes, purses, leggings, etc. to support this clothing drive!

• **Bring electronics at your OWN risk – St.

Andrews accepts no responsibility for lost or stolen personal items

What should I NOT bring? • Your own SNACKS • Sickness • A bad attitude What are the SADV rules? • NO Sexualized behaviour • NO Alcohol • NO Drugs • NO Violence If any of the SADV rules are broken, the participant may be required to leave immediately. This could mean that a parent will be receiving a call at 3 a.m. asking them to pick up the participant.

______________________________ (Parent/Guardian signature if under 18) ______________________________ (Participant signature) ____________________________________ (Date)