I (we), parent(s) or guardian(s), give permission to YOKE (YOKE Youth Ministries), and each of its individual agents, and the co-sponsoring organization, if any, and each of its agents, hereby give permission to assist my (our) child in the taking of the medications listed on this form, under the following rules and conditions:
- All medications which my child will or might need to take during the trip are listed, and shall be delivered to authorized YOKE personnel by me or my designated agent prior to departure.
- Any and all medication for my child shall be delivered to YOKE by a responsible adult, and shall not be sent by or given to my child.
- I assume complete responsibility to assure that my child does not possess or administer medication during the trip without the assistance of YOKE in accord with this form.
- I understand and agree that YOKE may decline to take my child on the trip based on a review of this form. I also understand that I have been encouraged to phone the YOKE office at (865) 522-6907 prior to completing this form to discuss any questions about health conditions which could disqualify my child from attending.
- Remember, all prescription and over the counter medication which will be needed by your child shall be delivered to YOKE in an ORIGINAL CONTAINER identifying the medicine, dosage, and must include the child's name on the container.