Permission slip & medical authorization — Mount Hood Overnight Expedition
Destination
Mount Hood Nat'l Forest
Dates
Oct 17 – 19 2025
Lodging
Tent camping Trillium Lake
Cost
$85 per youth
Your student is invited to join us for a weekend of hiking, campfire fellowship, and cooler-than-comfortable nights in the Cascades. This form must be signed by a parent or legal guardian and returned to the group office by Friday, October 10.
01
Trip Itinerary
Day One — Friday
Arrival & Setup
4:00 PM departure from church lot
Tent setup at Trillium Lake
Campfire dinner & opening circle
Day Two — Saturday
Trail Day
Mirror Lake loop (6 mi, moderate)
Free time at the lake
S'mores & testimony night
Day Three — Sunday
Return
Sunrise devotional
Camp breakdown & pack out
Return by 3:00 PM
02
Participant Information
03
Emergency Contact
04
Dietary & Medical
No dietary restrictions
Vegetarian
Vegan
Gluten-free
Dairy-free / lactose intolerant
Nut allergy (please describe below)
List severity, EpiPen needs, and any foods we should not pack or prepare in shared cookware.
05
Medication Authorization
I authorize trip leaders to administer the medications listed above according to instructions.
I authorize trip leaders to administer over-the-counter ibuprofen, acetaminophen, and Benadryl as needed.
Parent / Guardian Authorization
Consent, release & signature
I give permission for my child to participate in the Mount Hood Overnight Expedition, October 17–19, 2025. I understand this trip includes tent camping, day hiking on uneven terrain, and campfire activities, and I accept the inherent risks of outdoor recreation. In the event of a medical emergency and when I cannot be reached, I authorize Summit Ridge staff to secure necessary medical treatment for my child.