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Youth Activity Consent Form

Youth Activity Consent FormJason Chelf2020-12-30T13:16:03-05:00
  • MM slash DD slash YYYY
  • Consent and Certification

    I, the undersigned, being the parent or legal guardian of the youth named above,

  • To the participation of my youth in all the scheduled youth activities of The Point, Crave Student Ministries and any other supervised activities customarily associated with its youth group, including youth rallies and overnight or weekend youth trips. Further, I certify that my youth is physically fit and adequately prepared to participate in all recreational and sporting events. If I wish to revoke this consent for any reason, I will promptly notify the youth leader in writing.
  • That I will be notified in the case of a medical emergency. However, in the event that I cannot be reached, I authorize the calling of a doctor and the providing of necessary medical services in the event that my youth is injured or becomes ill. I authorize one or more of the following persons to make emergency medical care decisions on behalf of my youth, if required by law or a health care provider:
  • These persons to act in my place to consent to all necessary and appropriate x-ray examinations, anesthetic, medical or surgical diagnosis or treatment, and hospital care.
  • That The Point, its staff, and volunteers will not be responsible for medical expenses incurred solely on the basis of this authorization. I further agree to notify the youth director in writing of any health changes that would restrict my youth’s participation in any normal youth activities. I also understand that the youth leader and designated adult chaperones reserve the right to restrict my youth from any activity that they do not feel is within the physical capabilities of my youth.
  • MM slash DD slash YYYY
  • To uphold all policies of Crave Student Ministries. During all youth activities and all youth trips, I pledge to follow all instructions of the youth leader and the adult chaperones, including safety instructions.
  • MM slash DD slash YYYY
  • Medical Information

  • Family Doctor

  • This field is for validation purposes and should be left unchanged.

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