If necessary, describe in detail the nature and severity of any physical and/or psychological ailment, illness, propensity, weakness, limitation, handicap, disability, or condition to which your child is subject and which the staff should be aware, and what, if any action of protection is required on account thereof. Submit this notification in writing and attach it to this form. Include names of medications and dosages that must be taken.
Check the following areas of concern for this student.
•No possession or use of alcohol, drugs, or tobacco
•No stealing, fighting, weapons, fireworks, lighters, or explosives
•No promiscuous or inappropriate behavior or gestures
•No boys in girls’ sleeping quarters and no girls in boys’ sleeping quarters
•No swearing or vulgar gestures
•No offensive or immodest clothing
•Participation in the group is expected
•Respect all property
•Comply with event schedules
•Respect one another, staff, & adult leaders
•No students can drive to off-site events from the church without written parental permission each time
My student(s) listed above as/have my permission to attend all youth activities sponsored by FIRST BAPTIST CHURCH (hereinafter the “Church”) from SEPTEMBER 1, 2023 to AUGUST 31, 2024.
This consent form gives permission to seek whatever medical attention is deemed necessary, and releases the Church and its staff of any liability against personal losses of named child.
I/We the undersigned have legal custody of the student named above, a minor, and have given our consent for him/her to attend events being organized by the Church. I/We understand that there are inherent risks involved in any ministry or athletic event, and I/We hereby release the Church, its pastors, employees, agents, and volunteer workers from any and all liability for any injury, loss, or damage to person or property that may occur during the course of my/our child’s involvement. In the event that he/she is injured and requires the attention of a doctor, I/We consent to any reasonable medical treatment as deemed necessary by a licensed physician. In the event treatment is required from a physician and/or hospital personnel designated by the Church, I/We agree to hold such person free and harmless of any claims, demands, or suits for damages arising from the giving of such consent. I/We also acknowledged that we will be ultimately held responsible for the cost of any medical care should the cost of that medical care not be reimbursed by the health insurance provider. Further, I/We affirm that the health insurance information provided above is accurate at this date and will, to the best of my/our knowledge, still be in force for the student named above. I/We also agree to bring my/our child home at my/our own expense should they become ill or if deemed necessary by the youth pastor or student ministries staff member.
I also authorize First Baptist Church to take photographs and videos of ministry activities, which may include me and/or my child, and further grant my permission for that media to be utilized for public promotional purposes by the Church.
This permission is valid for the dates designated on this form.
