Student Ministry Liability Form
This is a Mission Point Church / Oneighty Student Ministry Sponsored Event. I hereby give my child permission to participate in the following event.
Name of Student:
Your answer
Event and date:
Your answer
Name of parent(s)/guardian(s):
Your answer
Address:
Your answer
Cell phone number:
Your answer
Home phone number:
Your answer
Work phone number:
Your answer
Name of Emergency contact:
Your answer
Cell phone number of Emergency Contact:
Your answer
Home phone number of Emergency Contact:
Your answer
List allergies or medical conditions:
Your answer
Is sponsor authorized to approve medical treatment?
Is participant covered by personal/family medical insurance?
If yes, name of insurer and policy or group number.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms