River of Life Community Church

Children of Our Lord

Parental Consent for Supervision, Transport, and Care

 

 

As parent/guardian of _______________________, I, _______________________ give

                                                                (Name of Child)                                                      (Parent’s Name)

My full consent for _____________________________ to participate in all River of Life

                                                                      (Name of Child)

Community Church’s youth group events.  And I agree not to hold River of Life Community Church, including but not limited to its employees, contractors, members, or other supporting personnel responsible for any injuries or harm occurring during such events.

 

In the event of any possible medical emergencies, I, ________________________ give

                                                                                                                                                (Parent’s Name)

Full consent for the administration of any emergency medical treatment deemed necessary by a consulting physician chosen by River of Life Community Church personnel acting for the benefit of my child.

 

Youth Group Member’s Section

 

As a participating member of River of Life Community Church’s youth group, I promise to respect all designated group leaders, staff members and peers.  I will also follow all rules set up by the staff members and will take full responsibility for any misconduct or accident I might cause.

 

 

Youth Group Member’s Signature: ___________________________ Date: __________

 

Print Name: __________________________