Consent & Release Forms for Minor Participation in the CYF Ministry at TLLC

Welcome to the Children, Youth, and Family Ministry at TLLC!

Please complete the following information for your child. This information is required for your child to participate in CYF activities at TLLC.

* Child First Name

* Child Last Name

* Child Preferred Pronouns

* Child Email

* Child Mobile Phone

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* Child Do You Have Allergies/Dietary Restrictions?

* Child List Allergies/Dietary Restrictions or N/A

* Child Insurance Company

* Child Policy Number

* Child Physician Name & Number

* Child List activities minor cannot participate in (or N/A)

* Child Emergency Contact Name

* Child Emergency Contact Number

Activity & Liability Release View Release

Click the link above to read the Activity & Liability Release then sign and date below

* Child Parent/Guardian consents to the Activity & Liability Release

* Child Activity & Liability Release Signature

* Child Activity & Liability Release Date

Media Consent and Notification View Document

Click the link above to read the Media Consent and Notification then sign and date below

* Child I / Parent/Guardian agree/s to the Media Consent and Notification (click to read)

* Child Media Consent and Notification Signature

* Child Media Consent and Notification Date

Youth Covenant for Participation View Covenant

Your student must read the Youth Covenant for Participation then sign and date below.

* Child I will adhere to the Youth Covenant for Participation

* Child Youth Covenant for Participation Signature (Student's signature)

* Child Youth Covenant for Participation Date