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FEED MY STARVING CHILDREN PERMISSION

SENIOR CLASS MISSION DAY

THURSDAY, SEPTEMBER 11, 2025

Dear Parent/Guardian:

The Mustang Mission Day for the Senior Class of 2027 will be at Feed My Starving Children on Thursday, September 17, 2026.

8:15 am - Departure from YCS - Travel to Feed My Starving Children, Aurora

9:00-10:45 am - Preparing meals for shipment overseas.

11:15 am - Return to YCS for Chapel.

We need drivers and extra hands, please consider chaperoning! Indicate interest on the electronic permission form.

Please complete the following waiver on or before Thursday, September 10th.

Please contact Michelle Stewart at mstewart@yorkvillechristian.com if you have any questions. Thanks!

By Completion of this waiver, I agree to the following:

1) I give permission for my child to attend the Mission Day activities at Feed My Starving Children on Thursday, September 17, 2026. I am aware my student(s) will be transported by staff or parent volunteer driven vehicles.

2) We will be back to YCS by 11:15 am

I Agree



First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
Emergency Contact
First Name*
Last Name*
Emergency Contact's Phone Number*
PARENT/GUARDIAN DRIVING INFORMATION
I am willing to transport YCS Students to this event and chaperone this event? (If so, you will be contacted regarding additional driver information)*
No
Yes
If you answered Yes to the prior question, how many students will your vehicle safely transport?*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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