CALIENTE YOUTH CENTER  

Parental Permission Slip  

 

At various times during your child's stay at the Caliente Youth Center, he/she may be involved with off-campus activities.  Sometimes there will be activities held off-campus related to school functions, and some youth also participate in special work projects located off-campus.  There are also special recreational events that may include camping or hiking.  The activities and events held off-campus are considered to be in the best interest of your child's treatment and general well-being.  All activities are appropriately supervised. 

 

Please fill out the following form and return it to the Youth Center office as soon as possible.

 

I hereby give permission for my son/daughter to participate in  

off-campus activities.  


 

 

 Youth’s full name

Parent/Guardian’s full name

 

Parent/Guardian Email

 
Parent/Guardian Telephone number

Date Submitted

 

All Information to be verified by DCFS staff before activation