Convo MLK Lock-In and Parade Permission Slip

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Please fill out one form per child.

Here's some helpful information about the Lock-In and Parade:

-The Lock-In will begin at 6 PM on Sunday, January 19, 2020, at St. Matthew's Episcopal Church, 1401 Martin Luther King, Jr., Blvd, Savannah, GA 31415
- We will provide dinner on Sunday and breakfast and lunch on Monday.
- Be sure to bring a sleeping bag, pillow, pajamas, toiletries (no showers), a change of clothes, weather-appropriate outerwear, and comfortable walking shoes.
- Feel free to bring snacks to share and appropriate games to play.
- We will have breakfast at St. Matthew's on the morning of January 20th, then head to the parade's starting point at 9 AM.
- The parade begins at 10 AM. We will follow the parade route back to St. Matthew's Church.
- All parade participants are invited to take part in a celebration of Holy Eucharist, followed by lunch at St. Matthew's, beginning at approximately 11:30 AM (watch out for closed streets due to the parade!)
- Please pick up your child from St. Matthew's no later than 1:30 PM on Monday, January 20, 2020.

Name of Youth *

Youth Birth Date *

YYYY

Youth Grade *

Health Insurance Provider *

ID#: *

Allergies

Dietary Restrictions

Other medical issues/comments

Home Address *

Parent/Guardian Name *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Other Emergency Contact Name *

Other Emergency Contact Phone Number *

I give my child permission to attend the Convo Lock-In at St. Matthew's Church on January 19-20, and to participate in the Savannah MLK Observance Day Parade on January 20. I understand that an adult will provide transportation from St. Matthew's to the parade's starting point. *

Yes

I give my child permission to watch a film rated PG-13 or equivalent about the life and work of Dr. Martin Luther King, Jr. *

Yes

I would like to participate in the Lock-In as an overnight adult chaperone. *

Yes

I would like to provide transportation for youth from St. Matthew's to the parade's starting point. *

Yes

I would also like to participate in the MLK parade by walking and/or riding in the parade. *

Yes

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