Cohort Events Permission Form

Cohort Events Permission Form

  • MM slash DD slash YYYY

  • Parent/Guardian Contact

    Please list all phone numbers where parents can be reached.
  • Parent/Guardian #1 cell
  • Parent/Guardian #1 work or other
  • Parent/Guardian #2 Cell
  • Parent/Guardian #2 work or other

  • Emergency Contact (other than Parent/Guardian)

  • Parent/Guardian Consent

    The undersigned does hereby give permission for my child ____________________________ (Participant) to attend and participate in any LSCC cohort activities, events, and Hangouts during the period of September 2023 – August, 2024.

  • LIABILITY RELEASE:

    In consideration of LSCC allowing the Participant to participate in children/youth ministry (Sunday worship, Sunday meeting, Activities, Events, and Hangouts) I, the undersigned, do hereby release, forever discharge, and agree to hold harmless LSCC, its pastors, directors, employees, volunteers and teachers (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury which may be incurred by the undersigned and the Participant while involved in the children/youth activities and childcare. I, the parent or legal guardian of this Participant, hereby grant my permission for the Participant to participate fully in children/youth ministry activities, including trips away from the church premises. Furthermore, I, on behalf of my minor Participant, hereby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. The undersigned further hereby agrees to hold harmless and indemnify said Church for any liability sustained by said Church as the result of the negligent, willful or intentional acts of said Participant, including expenses incurred attendant thereto

  • MEDICAL TREATMENT PERMISSION:

    My permission is granted for any approved adult chaperone to obtain necessary medical attention in case of sickness or injury to my child.

  • TRANSPORTATION PERMISSION:

    The undersigned does also hereby give permission for my child/youth to ride in any vehicle driven by an approved and licensed ADULT chaperone while attending and participating in activities sponsored by LSCC. My child/youth and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation.
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.