The FORGE Student Form 2025-2026

The FORGE Student Form 2025-2026

This student form is for any regular attendee of FORGE Student Ministry events OR any student participating in an off-site/overnight event. This form expires on May 31, 2026
Student Information
Full Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Student Grade in 2025-2026
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Email Address
example@example.com
Student Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Please list any activities your student will be involved in during the 2025-2026 school year.
Parent/Guardian Information
Parent/Guardian #1

First NameLast Name
Email Address
example@example.com
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian #2

First NameLast Name
Email Address
example@example.com
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contacts - In Case We Can't Reach You
Emergency Contact #1

First NameLast Name
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2

First NameLast Name
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Medical Information
Medical Insurance Company
Policy Number
Please list any medical conditions, disabilities, special needs, or behavioral concerns that leaders should be aware of to best serve your student. If none, type N/A.
Please list any special dietary restrictions pertaining to your student. If none, type N/A.
Please list any medications (prescription and non-prescription) your student will take during youth ministry functions. Students are required to give all medications to the Director of Youth & Young Adult Ministries in their original containers with complete dispensing instructions before the start of the event. If none, type N/A.
Permissions
Do you give us permission to contact your student directly via email or text?
Do you give us permission to add your student to our BAND account for general updates, prayer concerns, and/or encouragement?
Do you give us permission to use photographs, videos, and/or images of your student for promotional materials?
Do you give us permission to contact you via email or text?
Do you give us permission to add you to our BAND account for general updates?
Waivers
I authorize an adult leader to administer over-the-counter medications to my student to treat minor, non-emergent concerns.
I authorize an adult leader to consent on my behalf to emergency diagnosis, treatment, and/or care for my student until I am able to physically arrive at the given location.
I authorize a licensed and insured adult leader to provide transportation for my student during youth ministry activities.
Release
I, the parent or guardian, give permission for my student to participate in youth ministry activities. I assume all risks and agree to indemnify the Church for any liabilities from my student's actions. I release The Forge/Church of the Good Shepherd from any claims related to personal injury, sickness, death, or property damage during these activities. I will cover all transportation costs if my student needs to return home for any reason, including medical or disciplinary issues. I also agree to cover any costs for emergency diagnosis, treatment, or care. I certify that I am at least 21 years old and that the information provided is accurate.
Electronic Signature
By typing my full name below, I agree that my electronic signature confirms that all information on this document is correct and holds the legal equivalent to my handwritten/manual signature.
Should be Empty:

The FORGE Student Form 2025-2026

Student Information

Parent/Guardian Information

Emergency Contacts - In Case We Can't Reach You

Student Medical Information

Permissions

Waivers

Release

Electronic Signature