SENIOR HIGH YOUTH GROUP PERMISSION/LIABILITY RELEASE 2025-2026

Senior High Youth Group- Parent/Child Agreement

Please review this agreement with your child.

Keep this page for your records.

Hours:         High School Youth Group happens every week during the school year and throughout the summer, with few exceptions (Students will be notified of any summer cancelations dates towards the end of the school year). 
                   9th-12th...............6:30-8:30pm 

Dinner:        6th-12th at 5:45-6:15. Dinner opens for the public at 5:30 and is served until 6:15. Please feel free to join us for a FREE meal.

Dismissal:       Parents are responsible for their child's ride home. Youth group ends at 8:30 (If we are going over time please come and grab your child quietly)

Dates:        2023-2024 Calendar of Events (emails and fliers may be sent home for more information)

        September 3 - After School Program Begins
        October 15 - No After School Program
        November 19 - Thanksgiving Dinner & Christmas Program
        November 26 - No After School Program (Thanksgiving Break)
        December 24 - December 31 - No After School Program (Christmas Break) 
        March 18 - No After School Program (Spring Break)
        May 20 - Last day of After School Program

Expectations: While in our care children are required to:

              *Be respectful of everyone
              *Being respectful and listening to those who are given a platform to
                speak.
              *Adhering to a modest dress code (This includes: No Crop tops, low
                cut shirts, short shorts, spandex. Dress code decisions ultimately lie with
                youth pastors or church leadership). 
              *No foul language
              *No purple! So, no holding hands, kissing, or cuddling with the opposite
                or same gender
              *No use of Alcohol, drugs, or Nicotine products on church premises 
              *No engaging in sexual activities with any children, youth, or adults
              *Refrain from participating in gossip, hurtful conversation, and vulgar
                language
              *Appropriate use of phones, and social media (Such as not posting or
                sending inappropriate photos of yourself or others)
               *While at youth group youth are required to participate in all activities
                unless Andy or Anna are notified by parents, doctor's note, or through
                this form

****Once your child is on Pine Valley Foursquare Church property, for the purpose of attending youth group or youth event, they ARE NOT allowed to leave the church property unless parents have communicated with Andy or Anna before the time your child is trying to leave. Even if your student is able to drive his or herself to and from Youth Group, parent contact must be made with Andy or Anna. Students who are of 18 years of age but still attending high school and youth group must abide by the same rules****

                  Consequences of Failure to comply with behavior requirements:

                 *Time out from activities as a warning about suspension if needed.

                 *Two-week suspension; upon return to Senior High Youth Group , child
                   will present a written apology signed by child and parent, OR
                   a consequence to be determined by the senior pastor.

                 *Parents will be contacted immediately if their child leaves the premises
                   without authorization. If PVC is unable to reach the parent, we will call
                   the emergency contact listed. If neither party is available, we will
                   contact local authorities. Your child's safety is extremely important.

By enrolling in the program. and signing the agreement, you and your child/ren are acknowledging agreement with rules and expectations stated here and in compliance with PVC bus and school district bus rules where applicable.

give the permission for my child to participate in THE HIVE Senior High Youth Group Activities that occur during the 2025-2026 schoolyear (September 2025-May 2026) and release from all liability and indemnify Pine Valley Foursquare Church and its directors, staff, leaders and volunteers from any and all liability, claims, judgements, cost or expenses, including attorney fees, arising from any damage, injury or illness incurred or caused by my child while participating in or traveling to or from the activity, or otherwise in church custody. I understand the risks in these activities, including the possibility of unforeseen hazards, serious injury or death. I certify that my child is able and has permission to participate in the activities. ***Events will occassionally be off-site and parents will be notified in advance*** Rarely, students will have the opportunity to go off-site without advance notice-night of-and parents will be contacted and permission requested. 

2. I agree to instruct my child to cooperate with the church leadership and its representatives in charge of the activities and understand my child may be prohibited from participating and/or sent home for any failure to follow the rules established. If this happens, a parent will be called to pick up the student from the location. 

3. I appoint church representatives who are acting as leaders, as my attorney-in-fact to act for me in my name and my behalf, in any way that I could act if I were personally present, with respect to the following matters if any injury, illness or medical emergency occurs during the activity, related travel or while my child is in custody. 

 1. To give any and all consents and authorizations to any physician, dentist, hospital or other persons or institutions pertaining to any emergency transportation, medications, medical or dental treatments, diagnostic or surgical procedures or any other emergency actions as our medical attorney-in-fact shall deem necessary or appropriate for the best interest of the child.

 2. I understand the Youth leadership will make a reasonable attempt to contact me as soon as possible in the event of a medical emergency involving my child.

 

4. I agree that the church leadership may use my child's and /or my own name,voice, portrait, photograph or image for promotional, website, office or any youth program related purposes. These may be used for social media posts, videos, photos or other likenesses.

****I will notify the church leadership immediately if any change in the information presented and agree it is valid until revoked in writing.****