Children’s Event Permission Slip Children's Ministry Event Permission Slip Event Name:*Child's Name* First Last Gender:*MaleFemaleDate of Birth* Date Format: MM slash DD slash YYYY School Grade?*Parent or Legal Guardian's Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home Phone:Cell Phone:Emergency ContactName* First Last Phone:*Relationship*Name* First Last Phone:*Relationship*AllergiesKnown Allergies?*Medications Taken:*Release of LiabilityI, as parent/guardian, give permission for the above listed student to attend the FBC Joelton Children's Ministry events. I do not hold First Baptist Church Joelton liable for any injuries, accidents, or illnesses incurred during participation in this ministry. I understand that I am responsible for the expenses of my child's medical care and that my family insurance is primary. In case of emergency at a time when I can not be reached, I authorize the church to reach the persons whose names have been listed on my child's registration sheet.* Yes No I, as parent/guardian, I believe my child can enter into activities of this group and I delegate all responsibility for his/her care and control to the authorized staff of the church during the duration of this event. However, if a problem exists which cannot be resolved, I understand the church has the right to dismiss my child and contact me to pick my child up from the event.* Yes No Approved by: Parent or Legal Guardian's Name* First Last Questions or Comments?