Youth Group Permission Slip Template

Fearless Youth Permission Slip

with Lifeline Assembly
Event Details:

Name of Event: Stroud Lake Swim
Date: 07/13/2024
Time: 3:00pm
Location: Meet at the church, then drive to Stroud Lake.

We are planning to leave the lake around dusk. We will have the students notify parents when we are on our way back. We will meet back at the church for pick-up.

Dress code must be adhered to. Swim trunks or shorts for everyone. No speedos or bikinis. No revealing swimsuits or swimtrunks.

Each student will need a towel, sunblock, and snacks. Some food and water will be provided.

They can bring beach balls, footballs, chair, blanket, etc.

Contact Michael or Megan for more information.
Name of Youth

First NameLast Name
Name of Parent/Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Emergency Contact Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Please provide any relevant medical information, such as allergies or medical conditions, that the youth group leaders should be aware of in case of emergency:
Add parent/guardian’s name, and student/child’s name in the box above as well for permission
I,________________, give permission for my child,__________________, to participate in the upcoming event organized by Fearless Youth Group. I understand that my child will be under the supervision of the adult leaders and volunteers of the youth group during the entire event.

I understand that participating in this event may involve certain risks, such as injury or damage to personal property. I hereby release and hold harmless Fearless Youth Group, Lifeline Assembly, and its leaders, volunteers, and employees from any and all liability, claims, and causes of action arising out of or related to my child's participation in this event.
Date

MonthDayYear
Date
Signature

Clear
Should be Empty:

Fearless Youth Permission Slip