New Life Students Permission & Release Form

All information given on this form is valid until revoked by the parent/guardian. It is the responsibility of the parent/guardian to notify New Life immediately of any changes to the information provided on this form.

Your name *

Email address *

Phone number *

Student Name *

Student Birthdate

Grade

Medical note *

Please list any allergies (food or otherwise), medications, medical conditions, or specific instructions for the youth leaders.

I Agree *

I give my permission to New Life Baptist Church staff and leaders to obtain necessary medical attention in case of sickness or injury of my child.

I Agree *

I, the undersigned, do hereby release, remise and forever discharge all sponsors and New Life Baptist Church for any and all claims, demands, actions or cause of action, past, present or future arising out of any damage or inquiry while participating in the events of the New Life Student Ministry.

Photo Release *

I understand that my child's picture may be taken during teen events and activities and I give permission for pictures of my child to be used on social media, the church website and/or any promotional materials produced by New Life Baptist Church for purposes of highlighting and promoting youth events and activities.

A copy of your responses will be sent to your email address.