Information received is confidential and is being gathered for the purpose of serving our youth while in the care of Beaverlodge Alliance Church. The safety of your child is our primary concern. Precautions will be taken for their wellbeing and protection.
Informed Letter of Consent for Transportation
I give permission for my child(ren) to be transported in a motor vehicle driven by a youth leader. I understand that my child is expected to follow all applicable laws regarding riding in a motor vehicle and is expected to follow the directions provided by the driver and/or other adult volunteers. All youth leaders that are driving are required to follow all rules of the road, and will be required to sign off on a drivers contract with the Beaverlodge Alliance Church. I understand that participating in the identified event is not a requirement for participation in Beaverlodge Alliance Church activities.
I have read, understand, and discussed with my child(ren) that:
They will be traveling in a motor vehicle driven by an adult and accompanied by a second adult, and they are to wear their safety-belt while traveling;
They are expected to respect each other, the vehicles they ride in, and the people they travel with during the trip;
They are to remain in their seats and not be disruptive to the driver of the vehicle; and
Riding in a motor vehicle may result in personal injuries or death from wrecks, collisions or acts by riders, other drivers, or objects.
I recognize that by participating in these activities, as with any activity involving motor vehicle transportation, my child may risk personal injury or permanent loss. I hereby attest and verify that I have been advised of the potential risks, that I have full knowledge of the risks involved in this activity, and that I assume any expenses that may be incurred in the event of an accident, illness, or other incapacity, regardless of whether I have authorized such expenses.
Informed Letter of Consent for Medical Treatment
I/we, the parents or guardians named above, authorize Nate Perry (Pastor of Student Ministries) or BAC staff/volunteers to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant(s) named above. We also give permission for information in this document to be provided to medial personnel if required.
I/we, named above, undertake and agree to indemnify and hold blameless BAC, the ministry staff/volunteers, it’s Pastors and Board of Elders from and against any loss, danger or injury suffered by the participant as a result of being a part of the activities of BAC, as well as of any medical treatment authorized by the supervising individuals representing BAC. This consent and authorization is effective only when participating in or traveling to events of BAC.
Consent for Photos
I understand that my student may be photographed or recorded on video during the course of youth ministry events. I consent to Beaverlodge Alliance Church’s use of my student’s image in either print, electronic or video form in promotion material, the church website or church run social media (Instagram & Facebook).
Today's Date: May 28, 2022