Youth Permission Slip

Youth Ministries Activity Permission Form

I hereby give permission for my son/daughter/teen in my care to attend any scheduled youth event planned by the Living Water Foursquare Church youth leaders.

I understand that there will always be adult supervision at any of these events.

I understand and appreciate that all leaders at Living Water Foursquare Church youth events have up-to-date Criminal Record Checks.

If need be I give permission for my son/daughter/teen in my care to be driven to or from any of these scheduled youth events with the knowledge that he/she will never be alone with the adult driver.

I will encourage my son/daughter/teen in my care to respect the rules/directives given by any of the Living Water Foursquare Church youth leaders during the duration of the planned youth events and understand that if this does not happen that I will be called and will have to come pick up my son/daughter/teen in my care.

Name of Parent/Caregiver

First Name

Last Name

Parent/Caregiver Phone Number

Name of son/daughter/teen in my care

More than one can be listed here

Emergency Contact Name

First Name

Last Name

Emergency Contact Relation

Emergency Contact Phone Number

Extra Info

Allergies, medical concerns etc.

Parent/Caregiver E-Signature

I agree and understand that by checking the Electronic Signature button, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Electronic Signature Consent

Please Type Your Name

This is your electronic signature