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Forms
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Youth Liability Release Form.pdf Size : 36 Kb Type : pdf |
Wellington Free
Liability Release Form
January 09- January 11
Name: ____________________Age:__________Phone#:____________________
Address: __________________City:
Zip: ______________________Known Allergies: ___________________________
Parents Cell: _______________Hospital Insurance: Yes___ No___
Insurance Co: ______________Policy#:___________________________________
Doctor’s Name and Phone: _____________________________________________
Emergency Contact in case we can’t reach parent: ___________________________
Parent Covenant
My son or daughter has my permission to attend events or retreats sponsored by Wellington First Free Will Baptist Church during the time period of January 09- January 11. I release the WFFWBC and all individuals representing the Church of liability for an accident that might occur to my son or daughter while participating in events.
Parent or guardian signature: ________________________________________________
Notary: _________________________________________________________________
Signed before me this day_____, of_____ year of_____. State of
Youth Covenant
I am excited about being involved with the youth group and all activities and events. I want to build my relationship with God and get to know myself and others better. I want to have fun. While participating in any Wellington First Free Will Baptist Church youth event or activity I agree to abide by and do the following.
1. Treat others with respect. Youth and Adults
2. I will leave all electronic devices INCLUDING CELL PHONES at home.
3. I will not bring any drugs, alcohol, weapons, fireworks or people destroying items to any event.
4. I will make an effort to make friends.
5. I will abide by the dress code I am asked to abide by. NO SHORTS ARE ALLOWED TO ANY YOUTH EVENT, ACTIVITY OR SERVICE.
6. I will have a positive Christ like attitude
7. I will ask questions if I have them.
8. I will abide by the covenant and its statement that allows no male/female contact of an intimate nature.
Youth Signiture: __________________________________________________________