Nightwatch Permission Form
Nightwatch at The Cathedral Church of St. John the Divine
1047 Amsterdam Avenue
New York, NY 10025
My child ____________________________ has my permission to participate in the Community Church of Glen Rock Confirmation Class trip to St. John the Divine in New York, NY on
October 7 – 8 2011.
I have signed the waiver form if my child is a minor. Enclosed is my check for $48 to cover the program fee, payable to the Community Church of Glen Rock. I understand that no refunds are possible if my child cannot attend. Some scholarship money is available if the cost of the trip is difficult for some to provide.
My child has the following food and/or drug allergies:
In the event of an emergency, I may be reached at the following phone number during Friday night and Saturday morning, October 8, 2011.
Home: _________________ Cell: ___________________Other: ______________
Parent Signature: _____________________________________________
Name: (please print): __________________________________________
The Community Church of Glen Rock
354 Rock Road
Glen Rock, NJ 05452