MUST BE GIVEN TO COACHES AT DEPARTURE TIME!!!

Tournament Parental Permission

Permission is hereby given for _______________________________ to attend the Speech and Debate
tournament at _________________________________. I further consent, in case of injury or illness, for
the sponsor in charge to seek medical treatment (at parent’s expense) for my son or daughter if I cannot
be reached to give my consent to emergency personnel. Any prescribed medication should be given to
the sponsor for dispensing during the entire duration of the period of the tournament.

The undersigned also grants permission for coaches and NFL authorized staff to give over the counter
medicines to your student if needed for what appear to be routine medical issues such as headaches,
colds and flu. If medical attention is deemed to be needed, your students will be taken to the appropriate
medical facility (at your expense). Parents consent to emergency treatment if needed if parents cannot
be contacted in time. Parents agree to hold harmless the means and ownership of transportation, the
drivers, tournament hosting schools and committee, THRS coaches, parent escorts/judges and others
authorized by said in the unlikely event of injuries, illnesses or other unforeseen incidents.

Parent’s name: ______________________________ Phone ______________________

In case of emergency contact: ___________________ Phone ______________________
Parent’s Signature: ____________________________ Date _______________________

THANK YOU FOR YOUR SUPPORT--

Harry Strong 515-202-4078 Departure Time:

Nathan Fredericks 515-210-2159 Arrival Time:
SPEECH AND DEBATE,
DES MOINES ROOSEVELT HIGH SCHOOL
More Details on Blog!!!!

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MUST BE GIVEN TO COACHES AT DEPARTURE TIME!!!
Tournament Parental Permission

Permission is hereby given for _______________________________ to attend the Speech and Debate
tournament at _________________________________. I further consent, in case of injury or illness, for
the sponsor in charge to seek medical treatment (at parent’s expense) for my son or daughter if I cannot
be reached to give my consent to emergency personnel. Any prescribed medication should be given to
the sponsor for dispensing during the entire duration of the period of the tournament.

The undersigned also grants permission for coaches and NFL authorized staff to give over the counter
medicines to your student if needed for what appear to be routine medical issues such as headaches,
colds and flu. If medical attention is deemed to be needed, your students will be taken to the appropriate
medical facility (at your expense). Parents consent to emergency treatment if needed if parents cannot
be contacted in time. Parents agree to hold harmless the means and ownership of transportation, the
drivers, tournament hosting schools and committee, THRS coaches, parent escorts/judges and others
authorized by said in the unlikely event of injuries, illnesses or other unforeseen incidents.

Parent’s name: ______________________________ Phone ______________________

In case of emergency contact: ___________________ Phone ______________________
Parent’s Signature: ____________________________ Date _______________________

THANK YOU FOR YOUR SUPPORT--

Harry Strong 515-202-4078 Departure Time:
Nathan Fredericks 515-210-2159 Arrival Time:
SPEECH AND DEBATE,
DES MOINES ROOSEVELT HIGH SCHOOL
More Details on Blog!!!!