BISHOP KEARNEY HIGH SCHOOL

Gift Auction Permission Form

Please allow my daughter, _______________________,permission to volunteer at the Bishop Kearney Gift Auction, which will take place on Friday, February 28, 2019 at the Rex Manor, located at 1100 60 Street, Brooklyn, NY.

All student volunteers must

Completed Permission Slips are Due to the Development Office by Monday, February 25.

I UNDERSTAND THAT ANY STUDENT VIOLATING THE REGULATIONS FOR THIS EVENT WILL FACE DISCIPLINARY ACTION DETERMINED BY THE SCHOOL. I RELIEVE THE SCHOOL AND ITS APPOINTED CHAPERONES OF RESPONSIBILITY FOR ANY ACCIDENT OR INJURY THAT MIGHT BE INCURRED DURING THIS EVENT.

 

Parent/Guardian Signature_____________________________________

Address___________________________________________________

Home Phone Number_________________________________________

Cell Phone Number___________________________________________

Please indicate here any medical condition chaperones should be aware of

__________________________________________________________

TYPE OF MEDICATION (IF NEEDED) _______________________________

IN CASE OF EMERGENCY CONTACT _______________________________

RELATION TO STUDENT ________________________________________

TELEPHONE NUMBER__________________________________________

STUDENT’S CELL PHONE NUMBER________________________________

PARENT’S CELL PHONE NUMBER_________________________________