Youth Group Permission Slip Form

Youth Group Permission Slip Form
Event Details:
Name of Event: Escape Room
Date: 12/12/2023
Time: 18.00
Location: 123 Maple Streest, Anytown, PA 17101
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:
I,{nameOf6}, give permission for my child, {nameOf}, to participate in the upcoming event organized by 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 Youth Group 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: