Language
English (US)
Español
St. Andrew's Youth Ministry
Acknowledgments & Permissions
Student Name
*
First Name
Last Name
Please review the following acknowledgments and permissions, then sign at the bottom.
St. Andrew's Youth Ministry Parent Handbook
I have read and understand the St. Andrew's Youth Ministry Parent Handbook (link above). I agree to support the program’s expectations and to encourage my child’s respectful participation.
*
Please Select
Yes
I understand that St. Andrew's Youth Ministry uses Flocknote to communicate important information and schedule updates. I agree to read emails and texts from the youth ministry team.
*
Please Select
Yes
I confirm that my child’s emergency contact and medical information is current and has been provided to St. Andrew's Youth Ministry via Flocknote or hard copy registration.
*
Please Select
Yes
In case of a medical or dental emergency, I give permission to St. Andrew's Youth Ministry to seek any necessary treatment for my child. I am aware that private or public transportation will be used. I will be liable for and agree to pay all costs and expenses incurred in connection with any medical or dental treatment rendered pursuant to this authorization.
*
Please Select
Yes
The Diocese of Yakima requires annual discussion of age-appropriate Safe Environment lessons (topics include personal safety, boundaries, recognizing inappropriate behavior, and how to report abuse). Do you give your child permission to participate in these lessons?
*
Yes, I give permission for my child to participate.
No, I do not give permission. I will review the material at home.
Photos or videos may be taken during youth events and shared in parish communications (bulletin, website, social media). No names will be published without separate permission. Can St. Andrew's use photos or videos of your child?
*
Yes, I give permission to use my child’s photo or video.
No, I do not give permission.
By default, youth must be signed in and out by a parent or guardian. St. Andrew's Youth Ministry students may be allowed to sign themselves in and out with parental consent. Would you like your child to sign himself or herself in and out?
*
Yes, my child may sign themselves in and out.
No, a parent or approved adult will sign my child in and out.
Would you like your child to receive direct communication from St. Andrew's Youth Ministry? In accordance with Safe Environment policies, all student communication must be group-based or visible to a second adult. (If you would like your child to receive communications, please include his or her email and/or phone number below.)
*
I give permission for my child to receive group messages/reminders via email, app, or group text.
I do not give permission for direct communication with my child.
Student Email
example@example.com
Student Cell Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
I affirm that I have reviewed this information and made selections that reflect my preferences. I understand that I may contact the youth ministry director with questions at any time.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Signature
*
Submit
Submit
Should be Empty: