The Rocks Youth | Parent Permission

Dear Parent/Guardian,

Your child has shown interest in attending The Rocks Youth.

The Rocks Youth is the youth ministry of THE ROCKS for high school students aged 12-18.

(Note: if you have two or more children attending The Rocks Youth, please fill in separate forms.)

Child Details

Name of child *

Child's mobile phone*

Child's email

Child's birthdate

School Year

Which campus does your child attend?*

Medical conditions, allergies or food requirements

Parent/Guardian Details

Name of parent/guardian*

Parent/guardian's mobile phone*

Parent/guardian's email*

Which campus do you attend?*

Indemnities: Parent/Guardian Declaration

Permission granted for The Rocks Youth*

I understand that although THE ROCKS endeavours to provide a safe The Rocks Youth program, participation in the program is at risk of the participant, which extends to the care of their own belongings.

Permission to contact child*

Yes, I give permission for The Rocks Youth Leaders to contact my child outside of the program time, which includes (but not limited to) text messages, social media and phone calls.No, I do not give permission for The Rocks Youth Leaders to contact my child outside of the program time, which includes (but not limited to) text messages, social media and phone calls.

Permission to seek medical attention*

Yes, I give permission for The Rocks Youth or THE ROCKS to authorise on my child's behalf whatever medical treatment he/she may require. This includes (but not limited to) ambulance attendance and hospital treatment. I agree to pay all medical expenses incurred.No, I do not give permission for The Rocks Youth or THE ROCKS to authorise on my child's behalf whatever medical treatment he/she may require.

Permission for transport via youth leader's personal car*

Yes, I give permission for my child/minor to be transported in a The Rocks Youth leader's car (where relevant to your city)No, I do not give permission for my child/minor to be transported in a The Rocks Youth leader's car.

Media consent*

Yes, I give permission for my child to be included in any footage/photographs taken throughout The Rocks Youth events. These may be used for public distribution e.g. THE ROCKS website or any The Rocks Youth promotions.No, I do not give permission for my child to be included in any footage/photographs taken throughout The Rocks Youth events.

Permission to release*

I hereby release THE ROCKS and The Rocks Youth, its staff and volunteers, from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury (including death) that may be sustained to or by my child while participating in or travelling to and from The Rocks Youth events.

Type full name (parent/guardian)*

Today's date*

Digital Signature*

The Rocks Youth Parent Permission