GENERAL YOUTH PERMISSION FORM
I/We give permission for my/our child_____________________, to attend general youth activities, programs, and events organized
for the youth ministries of First Presbyterian Church, Bel Air, Maryland. General youth activities are those held at locations in the immediate (about 15 miles or less)
vicinity of the church property or actually on the church property. I/We understand that general activities include such events
and locations as local restaurants, ice skating or roller skating rinks, farm or corn mazes, bowling alleys, movie theaters,
local neighborhoods or homes, church lock-ins, public parks and recreational areas.
I/We further understand that other youth activities require more travel to specific destinations, such as the beach, ski resorts,
or the summer mission trips and that these activities will require their own particular permission forms.
I/We understand that my/our child______________________, will often ride in automobiles belonging to members and adult leaders
of First Presbyterian Church. I/We understand that he/she is to obey all instructions of said adults and to obey all safety
laws required while riding in said automobiles. I/We do not hold First Presbyterian Church nor adult leaders liable for any
transportation-related accidents.
I/We agree to hold harmless First Presbyterian Church, adult leaders, employees, and agents for liability sustained by any
other related accident or injury. I/We authorize adult leaders of First Presbyterian at all youth activities to consent to
any medical or dental treatment for my/our child, ________________ on the advice of medical personnel licensed under the provisions
of the Medical Practice Act.
Name of child_____________________________Date
of Birth______________
Name(s) of
Parent/Guardian__________________________________________
Signature
of Parent/Guardian_________________________________________
Home Phone:_______________________
Other Phone:___________________
Emergency
Contact:_______________________ Phone:___________________
Known Allergies/medical
conditions of child:_____________________________
