We, the undersigned, residing at:
,
authorize the "National Coalition of Clergy & Laity" to make all necessary arrangements for any surgical or urgent hospitalization for our child/children:
,
and/or in our absence place all or said child/children, in the care of Mr./Mrs./Miss/Rev., also demanding of the same children to show respect for & to obey the instructions, directives, and commands of adult pilgrim-organizers.
,
residing at:
,
who is/are participating in the same Pilgrimage 2020 events as our child/children.
Guardian/s
Parent 1
Parent 2