Tuesday, February 24, 2015

TREK - Trail of Faith Award (Spiritual and Physical preparation)

Spiritual and Physical preparation for TREK 2015

Trail of Faith Award
Completion Goal:  before June 10, 2015
The Trail of Faith Award requirements are for all trek participants and will help you spiritually and physically                 prepare for the 2015 Trek.  Some of these activities may also fulfill some requirements from Duty to God(DTG)                 or Personal Progress(PP), which are noted after some of the goals.


Spiritual Preparation Goals
_____ Read “Go and Bring Them In,” Ensign Dec. 2006
_____ Read “Faith in Every Footstep: The Epic Pioneer Journey,” Ensign May 1997
_____Read “Come Listen to a Prophet’s Voice: A Priceless Heritage,” Friend, September 2002
_____Read “By Faith All Things are Fulfilled,” Marcus B. Nash, Ensign, November 2012
_____Read “Faith to Answer the Call,” Jeffrey R. Holland, Ensign, July 2011
_____Read “Lord, I Believe,” Jeffrey R. Holland, Ensign, May 2013
_____ Read D&C 136
_____ Memorize all verses to the hymn “Come Come Ye Saints” (PP Knowledge #6)
_____ Memorize Mutual Theme Scripture: Moroni 10:32
 _____ Watch at least 1 pioneer video, such as “Faith in Every Footstep: the Epic Pioneer Journey” or “Tried in All                          Things” on the Church History DVD, Legacy,  17 Miracles, or Ephraim’s Rescue
_____ Choose an ancestor to walk in remembrance of on trek.  Find out who was the 1st person in your family to join the church. Write a 3-5 minute history and be prepared to share it during trek. **Choosing a Pioneer:  Pick a Mormon Pioneer from your own ancestry, such as the 1st person in your family to join the church, or from the Martin or Willie Handcart companies.  Find out all you can about this person.  What is their story?  When and where were they born? How old were they when they came across the plains? What do they have in common with you?  Find out what this particular person went through and how  it can help you today. (DTG Spiritual Strength/Understand Doctrine Section-Eternal Families and Family History Work, PP Faith Project 3, Individual Worth #6 or Project #1)
_____ Participate in a group service activity. (DTG-Priesthood Duties-Serve Others Section, PP Good Works #6)
_____ “Go and Bring Them In”-Look for someone who needs lifting up and help without being asked.
_____ Pray morning and night for 2 weeks prior to trek. (DTG Spiritual Strength-Pray and Study Scriptures section, PP              Faith #1)
_____ Read the scriptures at least 5 minutes a day for 2 weeks prior to trek. (DTG Spiritual Strength-Pray and Study                      Scriptures Section, PP Choice and Accountability #1, Virtue Project)

Choose 4 additional activities:
_____Keep a regular journal, and record your thoughts as you prepare for trek.
_____ Learn how to index a name on FamilySearch.org.  Complete at least 10 names. Login                                                                  to:https://familysearch.org/volunteer/indexing.
_____ Research names in your ancestry and find someone who needs some temple work done.  Prepare the name(s) for                  the temple and complete their baptism and confirmation. (PP Good Works Project #3, DTG Spiritual                                    Strength/Understand Doctrine Section-Temples and Family History Work)
_____Teach a lesson in Family Home Evening about the pioneers and share things you have learned from your                             preparations for trek and your readings.
_____Watch 2 Mormon Messages about Pioneers: “Faith of our Fathers,” and “Pioneers,” and discuss them with your                    family.
_____ Pray for a missionary experience.  Invite a friend to a church meeting or activity, or share your testimony with                      them. (PP Good Works #7, DTG Priesthood Duties Section)
_____Memorize the hymn “They the Builders of the Nation”
Go the Extra Mile (Optional): Complete ALL of the above activities

Physical Preparation Goals
“There is a close relationship between physical health and spiritual development.”
-  Elder Delbert L. Stapley
We will be walking ~ 20 miles in 3 days.  Complete these goals and you will be glad you did!

_____ Designate a pair of sturdy and comfortable athletic shoes as your Trek Shoes.  Use these to walk and hike in                        regularly before trek.
_____ Read D&C 89 and Read Isaiah 40:28-31 and come up with a personal plan to improve your health, nutrition, and              fitness prior to trek. (PP Knowledge Project #3, DTG Physical Health Section for Deacons)
 _____ One month prior to Trek:  Refrain from drinking any soda pop, carbonated, or sugary drinks. 
_____ Complete the monthly fitness goals listed below:
_____January: 
·       Walk and/or run 1 mile at least 3-5 times per week.*
·       Start drinking at least 8 glasses of water a day (the ideal you are shooting for is to drink ½ your body weight in ounces each day).
_____ February: 
·       Walk and/or run 1.5 to 2 miles at least 3-5 times per week.
·       Continue drinking at least 8 glasses of water a day.
_____ March:
·       Aim for running and/or walking 3 miles at least 3-5 times per week.
·       Continue drinking at least 8 glasses of water a day.
_____  April:
·       Aim for running and/or walking 3-4 miles at least 3-5 times per week.
·       Continue drinking at least 8 glasses of water a day.
_____ May:
·       Aim for running and/or walking 39999 miles at least 3-5 times per week.
·       Go on at least a 3 mile hike in your trek shoes.
·       Continue drinking at least 8 glasses of water a day.
_____ June:
·       Aim for running and/or walking 3 miles 4-5 times per week.
·       Be able to walk 4 miles on level ground in 60 minutes or less.
·       Continue drinking at least 8 glasses of water a day.
*Other cardio/strength training exercises can be substituted for walking and running in the earlier months; however, during the later months walking, hiking, or running becomes very important to be physically prepared for trek.

Go the Extra Mile (Optional):
_____ Add a calisthenic program to your workouts each month (create your own – a little research online can help you                build a program with 5-10 different exercises.  See the article “No Weights, No Bench, No Problem” in the New                  York Times - June 13, 2013).
_____ Eliminate caffeinated drinks from your diet from January through the end of Trek (See the article “The Energy                     Drink Epidemic” by Thomas J. Boud in the Ensign – December 2008).

***I have completed the above spiritual and physical requirements for the Trail of Faith Award. 
Name:_____________________________________
Ma/ Pa Signature:____________________________

Friday, February 20, 2015

TREK Anthem - The Fire of the Covenant


Click below to listen to the anthem:

The Fire of the Covenant

There was a sound
rising high above the plains.
Gentle Voices
were singing songs of praise.
And there were prayers
carried forth upon the wind.
with nothing left,
they still kept their faith in Him.

Their hope was brighter
than the fire
of cruel and angry men.
Their love was deeper
than the snow
and stronger than the wind.

The fire of the covenant they made
burned in their hearts
like a flame.
Unwavering, unquenchable,
undimmed by the night,
the fire of the covenant
burned bright.

There was a shout
heard above the bitter storm
from faithful saints
who had come to take them home,
where they would build up
a place of peace and love,
and raise a temple
to bind our souls as one.

The storms will come
and sin will rage,
and enemies deride.
Hold on they way,
be not afraid,
for God is on thy side.

The fire of the covenant they made
burned in their hearts
like a flame.
Unwavering, unquenchable,
undimmed by the night,
the fire of the covenant burned bright.

We are the youth
of the great and final days,
armed with truth
and a legacy of faith.
And we will rise up
and shine the light He gives,
and with the saints,
we will testify
He lives! He lives!

The fire of the covenants we make
burns in our hearts
like a flame.
Unwavering, unquenchable,
undimmed by the night,
the fire of the covenant
burns bright.

We’ll keep the fire

Burning bright.

Tuesday, February 17, 2015

TREK Contact Information

Trek 2015
Contact Information

Young Mens President:  (Program and Activities committee)
Pat Ford:  (Canyon Crest)               
Cell 801-510-3925 
home 801-475-1870
                        Email  Pat@beehivecheese.com

Young Women’s President:  (Program and Activities committee)
Kay Peterson:  (Spring Canyon)                             
Home:  801-589-1015
                        Email:   kaypet2@hotmail.com       

Trek Leaders:
Frank and Karen Noel:  (Shadow Mountain)
                        Frank’s cell    385-333-8820
                        Karen’s cell    385-333-8822          
                        Home  801-479-5872
                        Email   fgnoel1@gmail.com

Assistant Trek Leaders:  (Shadow Valley)
Lou and Janet Glass:
                        Lou’s cell 801-721-9621
                        Janet’s cell   801-725-8809
                        Home  801-479-1912
                        Lou’s Email   louglass@relia.net.  
                        Janet’s Email   janetrglass@yahoo.com

Food Committee Leader:
Cindy Kunz:   (Shadow Mountain)
Cindy’s Cell:   801-391-4980
Paul’s Cell:  801-391-4981
Email:  cindyckunz@gmail.com      

Transportation Committee Leader:
Steve Boothe  (Canyon Crest)
                        Cell  801-652-4528
                        Home   801-475-4021
                        Email   steve.boothe@exelisinc.com

Equipment Committee Leader:
Jeff Turner  (Highlands)
                        Cell   801-390-9018
                        Email  adrenln@comcast.net

Medical Committee Leader:
John Allred  (Shadow Valley )
                        Cell   801-668-5044
                        Email  john.allred@ogdenclinic.com

Publicity Committee Leader:
Jay Whitesides  (Meadows)
                        Cell   801-814-9982
                        Email  heberj123@gmail.com

Clothing Committee Leaders:
Richard and Sandy Lambert  (Highlands)
                        Sandy’s cell:  801-690-1491
                        Richard’s cell:  801-391-7885
                        Home  801-475-7244
                        Email   lambert2015@comcast.net

Ma and Pa Trainers:
Mark and Lisa Sheffield  (Shadow Mountain)
                        Marks Cell  801-589-9974
                        Lisa’s Cell  801-675-9564
                        Home  801-475-4714
                        Email  mjsheffi@msn.com

Videographer:
Jim Alvey (Spring Canyon)
            Cell:  801-920-1456
            Email:  jim@alveymedia.com

Historian:
            Jamie Russell (Shadow Valley)
            Home:  801-476-8184
            Cell:   801-668-3815
            Email:   Jamie@stonemountainpress.com

            Twila Bird (Spring Canyon)
            Home:  801-475-4458

            Email:  twilabird@gmail.com

Monday, February 9, 2015

TREK Clothing Recommendations



ToTheRescue2015final.jpgOUWS Pioneer TREK 2015 Clothing Recommendations
Dressing in pioneer clothing can have a tremendous impact on the spirit of the trek.  The following is a short description of what the pioneers wore as they crossed the plains.  It also gives some hints for trekking in our day.
Undergarments to add a warmth layer
There is the potential for the temperatures be in the 40-50 degree range in the daytime if there is a storm passing through the area, so ALL TREKKERS should prepare for potential cold weather by packing a thermal base layer, like you might wear for winter sports.
Men’s Clothing
Shirts
Men’s shirts were worn loose.  They had a narrow neck-band with no collar, but a long-sleeved, larger than regular fit button up shirt will be ideal and easy to locate.  Plain colors were most common, but stripes or plaids were also used.  For modern day trekkers, light colors will be coolest. 
Pants
Men’s pants were also worn loose.  Wool or linen was used.  Colors included blue, black, gray, and browns, especially beige and tan.  Trekkers in our day find that wool is too hot but that cotton, corduroy, twill, and canvas pants are good choices.  Choose styles that are rather loose fitting through the crotch and thigh area to add comfort in walking. NO JEANS.
Suspenders
Men’s pants were held up by suspenders.  Suspenders were buttoned on the outside of the waistband, and crossed in the back. Belts will also work.
Hats
Men’s everyday hats ranged from pilot caps, straw hats, wide brimmed low felt hats, or round crowned hat. These types of hats are available at various country supply store locations such as Cal Ranch and IFA for a modest price.  But don’t hesitate to look for hats at Deseret Industries as well. Modern day trekkers should not wear baseball caps.
ToTheRescue2015final.jpg
Women’s Clothing
Dresses / Skirts
A Woman’s basic dress was floor length.  It could be plain or have many ruffles.  The sleeves were full, and long, with buttons or bands at the wrist.  Necklines were usually high, with buttons up the front.  Fabrics were made of cotton in solid colors or small print.  Bright colors (excluding neons) were popular (especially bright yellow).  Blouses and long skirts or jumpers could be used.  Pioneer trekkers today have found that dresses and skirts should be mid-calf or above the top of a hiking boot in length (so the girls do not trip over their skirts while pulling).
Aprons
The standard apron was six to twelve inches shorter than the skirt length.  It gathered at the waist and tied.  The bib attached at the waist and was pinned to the dress bodice at the top two corners, hence, the pinafore (Pinned at two of the four corners!).  Daytime aprons were made of calico remnants.  Sunday aprons were made from white fabric and did not have a bib.  For trekking today, large deep pockets are important to be able to carry different items along the trail.
Bonnets
Women wore bonnets whenever they were outside.  They were made of cotton with a deep stiffened brim and a back ruffle to protect the neck.  They could be white, plain colors or a print, but they never matched the fabric of the dress.  For Trekking today, bonnets or straw hats for the girls are important; they need to have something for protection from the sun.
Pantaloons
These were worn underneath the dress and were normally white.  Their length was usually between knee and mid-calf.  Wearing pantaloons helps maintain modesty in trekking situations and prevent chaffing. Knee shorts will also be an acceptable replacement for pantaloons, but no cutoff Jeans, please.



Women / Men’s Clothing
Undergarments
Please be careful and modest in selecting your undergarments for Trek.  Simplicity and items made of breathable cotton will be the best choice.
Nightwear
Keep in mind the weather will most likely be COLD in the evenings.  We would recommend that boys and girls to wear a pair of sweat pants (or sport pants) and a t-shirt.  They should each also have a sweatshirt to wear for additional warmth.  Nightwear is to be worn only when it is time to go to sleep, not when we arrive at a given campsite.  You will change into your bedclothes once it is time to retire to your tents/shelters.
Shoes and Socks
Shoes for both women and men need not be “period” style.  Comfort is most important.  Do not wear new hiking boots unless you have taken at least two months to break them in. Pack clean socks for each day.  We recommended the use of nylon socks against the skin to protect against blistering.

Items Not to Wear on Trek
Blue Jeans, shorts, baseball caps, tank tops, t-shirts, tight/short dresses, brand new shoes.  Stay away from modern clothing and prints.  Clothing should not ride low.  Please adhere to The Strength of Youth Standards.

Clothing Sources
Check local second-hand stores, such as Deseret Industries, or borrow clothing.  Many have had this wonderful experience before us and would be willing to share what they wore on Trek.  Deseret Book is now also selling pioneer bonnets, aprons, skirts, and men's hats and shirts.




MEN:
    Hiking/walking shoes (not new)
    Water shoes / sandals for crossing river
    Pair of Socks for each day (good quality to prevent blisters)
    Clean underclothing for each day
    Poncho or water repellant coat
    Wide-brimmed western style hat (helps avoid sunburn)
    Long cotton, canvas, or wool pants. Dockers brand works well. (no jeans)
    Long-sleeved shirts (cotton or flannel – no logos)
    Coat / jacket
    Optional: A pair of sweats, t-shirt, and sweatshirt for Nightwear
    One handkerchief (provided by stake)
WOMEN:
    Hiking/walking shoes (not new)
    Water shoes / sandals for crossing river
    Pair of Socks for each day (good quality to prevent blisters)
    Clean underclothing for each day
    Poncho or water repellant jacket
    Two mid-calf length long-sleeved pioneer style dresses OR 2 mid-calf length skirts and 2 long sleeve blouses     OR one of each
    Bonnet (no modern hats, must be pioneer style)
    Apron with deep pockets
    Bloomers/knee shorts – to be worn under dress or skirt
    Warm Coat / jacket

    Optional: A pair of sweats, t-shirt, and sweatshirt for Nightwear

***CLICK HERE*** to download/print this sheet

TREK Equipment and Clothing Packing List


 Ogden Utah Weber Stake 2015 Trek Equipment Packing List
This list is provided to help you gather the gear you will need to be a successful pioneer. Because of the weight and space limitations of our handcart design and our attempt to create an authentic pioneer experience, you will be limited in the amount of gear you can bring. You will need the items listed here, but please don't bring anything else. We cannot take it with us.
**DON’T FORGET…FIRST DAY OF TREK- EAT BREAKFAST AT HOME AND BRING A LUNCH WITH YOU!!**

All items must fit inside one 5-Gallon bucket. This bucket and lid (screw-on preferred) will be provided by your ward, along with the assigned company color duct tape to label your bucket with. If your ward needs to procure 5 Gallon buckets and screw-on lids, please contact Dan Butters 801-502-6563.

Everyone should bring:
Warm pajamas or sweats
Thermal base layer to wear if the weather is on the cool side
1 pair sturdy, well broken-in shoes for hiking (do not bring new shoes or worn out shoes with holes in            them)
1 extra pair of shoes or water shoes that can get wet (no flip flops)
4 pair of sturdy socks
1 pair thin, opaque socks or knee-high nylons to wear under sturdy socks to prevent blisters (optional)
1 rain poncho
1 pillow case (use to make a pillow out of your coat)
20 oz. water bottle (not disposable-You will be carrying this with you and refilling it on the trail)

Personal hygiene items- Place in separate quart Ziploc bag -label with your name
lotion, deodorant, soap
small hand towel or pre-moistened wipes for face and hands
toothbrush, toothpaste, and dental floss
comb or brush
hand sanitizer and tissues
Eye glasses should be worn instead of contacts, as dusty conditions will exist and it is difficult to care             for contacts in a wilderness setting.

Personal Items-Place in separate quart Ziploc bag – label with your name
Personal first-aid kit (5-10 band aids and moleskin for foot care)
Prescription medication, labeled in original pack (to be checked in with medical staff)
Insect repellent
Sunscreen (at least SPF20)
Sunglasses
Chap stick
1 old Book of Mormon, in a Ziploc bag
1 pen
1 flashlight with new batteries
1 pair leather gloves to protect hands while pulling handcart
1 large garbage bag to hold wet or dirty clothes
Pocket Knife (optional)

Women should bring:
2 mid-calf length skirts and 2 button down long sleeve blouses (no T-Shirts) OR 2 mid-calf length                 dresses with long sleeves.
Apron with deep pockets
2 Pantoloons-knee length to prevent chaffing. Knee shorts are also acceptable-NO JEAN CUTOFFS
1 set of underclothing for each day
1 bonnet
Feminine hygiene supplies






Men should bring:
2 pair of pants (Dockers, cargos or khakis -no jeans)
2 long-sleeved button down shirts-NO LOGO shirts
1 western-style hat (inexpensive straw hat works-no baseball or army hats)
1 set of underclothing for each day
1 old tie
Belt & suspenders (optional

Camping Equipment-ALL (bring camping equipment in garbage bags, double bagged and labeled with your           name):
2 heavy-duty garbage bags (will hold your camping equipment)
A warm sleeping bag (+20 degree bag is recommended, as it is common for June snowstorms to occur          in this area of Wyoming
Sleeping pad or mat
An old blanket
A good coat (not just sweatshirt, it will be cold in the mornings and evenings)

Please arrive wearing 1 set of your pioneer clothing; remember that this clothing must be sturdy, as it will be subject to heavy use.

Optional Items & Information:
NO cell phones or other electronic devices
Please do not bring any valuables such as jewelry, electronics, etc.

Ma and Pa Equipment List

Ma’s and Pa’s please bring the following items:

All of the items listed above on the Packing List
(1)-10 Gallon water cooler for your handcart
(2)-6 Person tents Sturdy Springbar style tents with long metal tent stakes for your family (1 Boys and 1 Girls tent)
1 Medium rectangular cooler for lunches
(1)-2 person tent for Ma and Pa lodging (Springbar style tent with long metal tent Sturdy stakes)
(4)-Tarps to be used under the tent and to cover the handcart in the event of inclement weather and               dusty conditions
Rope (20 feet), bungee cords, etc to lash down tarp on handcart and 2 pair of extra leather gloves for pulling handcart
Claw hammer for installing and removing metal tent stakes, pocket knife and leatherman multitool.
(2) Headlight Flashlights with extra batteries (LED style best for battery life)
5 Gallon bucket lid opened, tied to one of the buckets, if your ward uses press-on lids.  Screw on lids  preferred.
Small hand mirror and toilet paper.  Extra feminine hygiene products (in case YW are not prepared)
Family discussion material
Games and activities
Small First Aid kit (should contain: Bandaids, moleskin, neosporin, Tylenol, sun screen, hand sanitizer).
1 Roll Duct Tape-assigned company color
Snack bucket-empty 5 Gal bucket

The following items will be provided for each family at Trek:
Daily itinerary
Family Flag for your handcart
Duct Tape
Bandana for each family member
Journal/Songbook
Bracelets
Trash Bag
Tissues or roll of toilet paper

Questions/help with clothing, please contact Rich Lambert 801-391-7885 or Sandi Lambert 801-690-1491 (Highlands Ward)

***CLICK HERE**** to download/print Form

Friday, February 6, 2015

Parental Permission and Medical Release Form

     


        Ward:________________________
Age of youth as of June 10, 2015:________________________
         Grade in school that youth is entering as of June 10, 2015:________________________                      Gender:________________________
OGDEN UTAH WEBER STAKE 2015 TREK PARENTAL PERMISSION AND MEDICAL RELEASE
                    This form must be completed, signed in both places, and delivered to your ward YM or YW President by  March 15, 2015.  Each participant (adult and Youth), must complete a form.
Name:______________________________________________________________        Gender:__________   Date of Birth:____________________
Address:__________________________________________________________        
Home Phone:_______________________________________
Parent (if minor):_____________________________________________________    
Cell Phone:_________________________________________
Parent (if minor):____________________________________________________      
Cell Phone:_________________________________________
Please identify your family physician, medical insurance carrier, and any other information that may be important for insurance purposes if it becomes necessary to obtain medical care for your child.
Family Physician:____________________________________________________________       Phone:_____________________________________
Insurance Company:_________________________________________________________      
Policy Number:______________________________
Other:___________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
Statement of Responsibility
This Pioneer Trek Youth Conference will be held in a wilderness setting.  Participants will be “roughing it.”  The Stake will provide food, restroom facilities, safe drinking water, and learning activities.  Each participant must act in accordance with Church standards.  There are inherent risks involved in all outdoor activities, including this Stake sponsored Youth Conference, which are beyond the control of the Stake staff and officers.  Proper preparation reduces these risks and is the responsibility of all participants.  These considerations should include a warm sleeping bag, warm clothing, a poncho or rain coat, sunscreen, insect repellant, and other items listed on the personal equipment list.  In addition, all participants must proactively ensure that they stay hydrated throughout the activity.  All participants must act in such a way as to not endanger themselves or others, and should show charitable consideration to all other participants and leaders in the Trek.

Each participant should condition themselves physically for this experience.  Specifically, each participant must be able to complete a minimum requirement of walking/running 4 miles on level ground in 60 minutes or less without undue stress.

The Trek will be conducted on private property.  Each participant must abide by the “No Trace Camping” protocols to maintain the wilderness nature of the property.  In particular, each participant must avoid littering of any kind.


Name:____________________________________________________           Gender:________________  DOB:____________________________

Health History
If you currently suffer from or if you have ever experienced any of the following conditions please mark the appropriate space below:
⃝  Arthritis ⃝  High blood pressure
⃝  Asthma ⃝  Major operation or serious illness
⃝  Epilepsy ⃝  Heart trouble/Chest Pain
⃝  Emotional problems requiring medication ⃝  Diabetes
⃝  Fainting spells ⃝  Hypoglycemia
⃝  Rheumatic fever
⃝  Other medical or physical conditions which might be  
      aggravated by this Trek
⃝Other,
please specify:____________________________________________________________________________________
____________________________________________________________________________________________________________
If you marked or completed any of the above items, you may be requested to provide further information, and you may be requested to provide a Medical Release Form completed by a medical doctor.
Describe any allergies or medication reactions:______________________________________________________________________
____________________________________________________________________________________________________________
Medications currently being used:_________________________________________________________________________________
____________________________________________________________________________________________________________
Describe any special diet requirements:____________________________________________________________________________
____________________________________________________________________________________________________________
Have you had any surgeries or major illnesses or injuries?
⃝  Yes  ⃝  No     If yes, please explain:____________________________________________________________________________
____________________________________________________________________________________________________________
I agree to the above terms and represent that the information provided above is accurate, complete and correct.
Date:________________________                    
 Signature of Participant:_________________________________________________
Parental Permission for Youth Participation and Authorization to Provide Medical Care
I have completed and read the above information pertaining to my child.  I am aware that my child will be participating in Trek 2015.  I give my permission for my child to participate in this activity and authorize the adults supervising this activity to administer emergency treatment to the above-named participant for any accident or illness and to act in my stead in approving necessary medical care.  This authorization shall cover this activity, all preparatory activities, and any travel to and from these activities.
Date:______________________________                
Signature of Parent or Guardian:______________________________________________

***CLICK HERE*** to download/print the Form.