Gateway Model United Nations Conference on the U.N. & the Future
Permission to Participate Card
I have previously signed the “In Case of Emergency” Form for my child, _____________________________, to participate in activities sponsored by Civitas Associates and the Gateway Model United Nations. I hereby grant permission for my child, ______________________________, to participate in the Gateway Model United Nations Conference on the U.N. & the Future to be held at the Clayton Radisson Hotel from Friday, February 1, 4:00 PM until Saturday, February 2, 5:30 PM.
Signature of Parent or Guardian: ________________________________ Date: ____/____/_____
Note: If any medical conditions have changed since Oct., 2001, please indicate on the back of this card.
Return to:
Civitas
Associates
232 No. Kingshighway, #2101
St. Louis, Missouri 63108-4002