Independent Entries

Parent Letter authorizing participation by independent entries

(template--copy/paste the text and fill in the blanks as appropriate):

Date_________________________

Dear Damien High School:

This letter is to inform you that we would like our child, ___________________, to attend The Damien Debates from November 15-16, 2014 and that she / he does so with our full consent and permission. We have arranged for our child to be fully chaperoned and for transportation to our satisfaction, and accept full responsibility and liability for our child during the entire course of the event. We understand and agree that Damien High School, its employees, and its agents provide no chaperones for the event, and further agree that Damien High School, its employees, and its agents are hereby relieved of any responsibility or liability of any sort for the supervision of our child.

The following person will be chaperoning our child:

Name: _________________________________________________________

Cell phone: _____________________________________________________

Relationship to our child: __________________________________________

By signing this we are certifying that we are in fact the legal guardians of the listed child, and have full legal authority to act on the listed child's behalf.

________________________                         ________________________                 ________________________

               Parent Name                                                      Parent Signature                                                     Date

Parents’ contact information:

________________________                         ________________________                

                Cell phone             Email