Welcome to 1-1-6 Youth Ministry by Edgewood Church!

” For I am not ashamed of the gospel, for it is the power of God for salvation to everyone who believes (…)”.
Romans 1:16 ESV

Every Wednesday @6:30PM to 8:30PM.

Snacks + Games + Worship + Word.

Transportation Permission Form

Name of Youth Participant *

First

Last

Parent/Guardian Email

Parent/Guardian Name *

First

Last

Parent/Guardian Phone # *

Please List all Allergies – Food/Medication etc… *

Is there any pertinent medical information and/or medications that we should be aware of and/or reasons why this person may not fully participate in any/all activities

Known Medical Conditions / Limitations *

Is there any pertinent medical information that we should be aware of and/or reasons why this person may not fully participate in any/all activities

Date / Time *

Date

Time

Terms and Conditions *

I have read, and I understand and agree to all terms and conditions stated below

Parental Permission : I hereby give my permission for my child ( Listed above on this form ) to participate in all activities and be transported off campus ( via bus or personal vehicle ) by the 116 Youth Group – a ministry of Edgewood Church. I agree to assume all risk of injury, harm, or damage to my child’s person or property. I agree to indemnify and hold harmless all staff and participants from all liabilities, legal actions, damages, and claims of any kind or nature that may arise as a result of my child’s attendance at this event. By signing this permission slip, I understand the use of illegal drugs, beverage alcohol, the use of tobacco in any form, and/or weapons of any kind are strictly prohibited anywhere on the grounds or in any buildings/ vehicles. Any confiscation of and/or discovered use of the above mentioned items can result in the suspension of my child’s attendance from the event, I assume responsibility for any additional transportation arrangements or costs incurred as a result of this actions.

Parent/Guardian Signature *