Child's Information *

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Birth Date *

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Address

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Address 2

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Permission & Release *

I, the undersigned parent/legal guardian of the child named above, give permission for my child to participate in activities organized by White Oak Spring Baptist Church ("the Church") for the period of January 1, 2025 to December 31, 2025. These activities may include but are not limited to: regular youth meetings, special events, off-site activities, transportation in church or private vehicles, and overnight events. ACKNOWLEDGMENT OF RISKS: I understand that participation in youth activities involves certain risks, including but not limited to the risk of physical injury, death, emotional injury, property damage, or other losses. I voluntarily elect to allow my child to participate and assume all risks associated with their participation. WAIVER AND RELEASE: To the fullest extent permitted by law, I release White Oak Spring Baptist Church, its leadership, employees, volunteers, and representatives from all liability, claims, demands, or causes of action for injury, death, property damage, or loss arising from my child's participation in church activities, whether caused by negligence or otherwise. MEDICAL TREATMENT AUTHORIZATION: In the event of injury or illness requiring medical attention, I authorize the Church to seek appropriate medical care for my child and consent to any necessary treatment. I understand I am responsible for any costs associated with medical treatment. BEHAVIOR COVENANT: I understand that my child is expected to follow all safety instructions and behavioral guidelines established by the Church. I acknowledge that if my child's behavior becomes disruptive, dangerous, or inappropriate, they may be sent home at my expense. TRANSPORTATION CONSENT: I authorize my child to be transported to and from activities in church-owned vehicles, company rented vehicles or private vehicles operated by approved adult drivers. MEDIA RELEASE: I grant permission for the Church to take and use photographs or recordings of my child during church activities for promotional purposes without compensation. EMERGENCY CONTACT: If I cannot be reached in an emergency, the Church may contact:

Agree To All

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Last Name

This permission form and release shall remain effective for the dates specified unless revoked in writing. I have read and understood this document and signed it voluntarily. *

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Date

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