St. Andrew's Youth Release Form 2020-21
I understand that this form gives my child permission to participate in youth activities at St. Andrew's Lutheran Church from September 1, 2021 through August 31, 2022.

I understand that the youth activities may include overnights and events that take place away from St. Andrew's Lutheran Church.

I understand that if transportation is required, it will be provided by adult supervisory personnel.

Should it be necessary for my child to have medical treatment while participating in these events, I understand that the adult leader will make every effort to contact me or the other parent/guardian/contact I've listed in Section 2 of this form. In the event, I can not be contacted, I hereby give the adult leader permission to use their judgment in obtaining medical service for my child. I also give permission to the physician selected by the adult leader to render medical treatment deemed necessary and appropriate by the physician.

If you agree to the statements above, please enter your "signature" below signifying the agreement.
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Youth Name: *
Parent Signature: *
Date: *
If you'd prefer to NOT allow your child's pictures be posted on St. Andrew's website or social media pages please check here:
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