I, the undersigned Parent or Legal Guardian, AND the undersigned Youth (legal 
minor), do hereby agree that we will abide by the Statutes, rules, regulations and 
edicts of the International Supreme Council, Order of DeMolay, and its duly 
authorized representatives.  We agree that if in the opinion of any DeMolay Advisor 
that if either of us should be removed or asked to leave any DeMolay activity for 
violation of the same, that the undersigned Parent or Legal Guardian will 
immediately take the necessary action to cause the transportation of violator from 
the activity site at the expense of the undersigned Parent of Legal Guardian.

We hereby agree to release and hold harmless the International Supreme Council, 
Order of DeMolay, the Grand Master of DeMolay International, and its members 
together with the Executive Officer, staff members and Advisors of the jurisdiction 
of Alabama, Order of DeMolay, from any and all claims or cause of action which the 
undersigned has or may have.  This specifically includes any and all plans which 
arrive out of the attendance at authorized DeMolay events, including transportation 
to and from said event.


IN THE EVENT OF AN EMERGENCY, AND THE UNDERSIGNED PARENT OR GUARDIAN
CANNOT BE REACHED, THE UNDERSIGNED PARENT OF GUARDIAN HEREBY AUTHORIZE
THE FOLLOWING PERSON TO ACT ON THEIR BEHALF:


Name_________________________________                 Phone____________________

Address__________________________________________  Relationship________________

Parent or Legal Guardian: Please provide the following information about yourself:

Your full name___________________________________________________________

Street and Mailing Address_______________________________________________
(if different)
City/State/Zip___________________________________________________________

Telephone [Home] ______________________     [Work]_______________________

Relationship to Youth____________________________________________________

If Youth's address is different than Parent or Legal Guardian, please state below:

_________________________________________________________________________
(if same, write SAME)

___________________________________         _____________________________
Signature of Parent or Legal Guardian       Signature of Youth (legal minor)

_______________________                     _____________________
Date                                        Date