PRIVACY POLICY

In order to ensure your safety and the safety of others, we need to collect some basic information including (but not limited to): your current contact information, medical information and allergies. We understand the sensitive nature of this information, and every effort will be made to ensure its complete confidentiality. The information we collect in this package will be viewed solely by the ministry staff within our organization (Gateway Youth) and our parent organization (Gateway Alliance Church), in accordance with Gateway’s Privacy Policy (available at gateway.ac/privacy). If necessary, this information will be shared with licensed medical professionals, including (but not limited to) nurses, paramedics and doctors, as outlined in our liability waiver below. Under no circumstances will any of this information be shared with a third-party without your consent, unless required by law.

 

By signing this form, you acknowledge that you have read these terms and give consent for the information collected to be used in accordance with this privacy policy.

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This Permission Form is valid for the Corn Maze event for October 16, 2026.




Review Gateway Youth Privacy Policy

Corn Maze Permission Form

(Valid for the Corn Maze event on October 16, 2026)


WHAT IS THE CORN MAZE EVENT?

The Corn Maze event is...


WHEN IS IT

The Corn Maze event will be taking place ​on October 16, 2026 from 6:30 pm to 8:30 pm.


WHERE IS IT

We will meet at the Edmonton Corn Maze (26123a Highway 627, Stony Plain 135 AB)


WHO CAN COME

This event is for everyone who is in grades 6-12.


COST

The Corn Maze costs $13 for youth under 12, and $15 for youth 12 and over.







First Student's Name
First Name*
Last Name*
Phone*
Select Gender
First Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
First Student's Signature*
Second Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Third Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Fourth Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Fifth Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Sixth Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Seventh Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Eighth Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Ninth Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Tenth Student's Name
First Name*
Last Name*
Phone*
Select Gender
Student's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Parent or Guardian's Email Address
Email*
Confirm Email*
Parent/Guardian Information
Full Name *
Relationship to Student: *
Phone Number *
If you would like to receive occasional monthly updates about Gateway Youth's events, please select the which method(s) you would like below.
Email Updates
Emergency Contact Information

Please note- in case of emergency we will first contact the parent/guardian listed above. If they are not available, we will contact the separate emergency contact listed here.


Emergency Contact Name *
Relationship to Student: *
Phone Number: *
Assumption of Risk & Liability

​Please Read Carefully!

By signing this release, you acknowledge that you understand and appreciate the inherent and other risks involved in your child/children's participation in Gateway Alliance Church events during the 2026-2027 year, and certify that you have determined that your child/children is/are in good health and suitable to participate in the aforementioned events. Should your child/children become ill, or if deemed necessary by the church or its agents due to noncompliance with the above basic rules of conduct or list of expectations, you also agree to bring your child home at your own expense.

By signing this release, you acknowledge that Gateway Alliance Church and its programs Gateway Youth, & Gateway Kids cannot ensure your child/children's safety, and choose to voluntarily allow your child/children to participate in this/these events despite all risks. You furthermore certify that you are competent and have read and understood this agreement and are signing it voluntarily; and that you have discussed these risks and dangers with your child/children attending this event; and hereby now and forever release Gateway Alliance Church and Its Programs Gateway Youth, Gateway Kids and their employees, volunteers and agents from any and all liability claims you or your child/children may have for any injury, illness, disability, emotional distress, damage or loss of personal property relating to your child/children's participation in this event, whether described in this document or not.

Furthermore, by signing this release, you acknowledge that this agreement has no expiration date and remains in effect before, during, and after these events. Should any portion of this agreement be found invalid, you acknowledge that the rest shall continue in full force and effect.

In consideration of Gateway Alliance Church, Gateway Kids & Gateway Youth allowing your child to participate in these events, you furthermore agree to the following:

  1. Photo Waiver: Gateway Alliance Church, Gateway Kids & Gateway Youth may take and use photographs, video, and other images of yourself and your child/children participating in these or any other Gateway Kids or Youth event. You waive any right to privacy, compensation, copyright, or other rights to those images, and consent to Gateway Alliance Church, Gateway Kids, & Gateway Youth using those images for promotional purposes.

  3. Medical Waiver: In the event that your child/children require(s) medical treatment during this event, every reasonable effort will be made to contact you and/or the emergency contact listed above. Should your child/children require medical attention, you consent to any reasonable medical treatment as deemed necessary by a licensed physician, and acknowledge that you will be ultimately responsible for the cost of any medical care. Furthermore, you certify that all the medical information contained in this form is up-to-date and valid. As necessary, you also acknowledge and authorize the use of first aid by a person holding valid certification, as well as the use of CPR.

  5. Communication Waiver: By signing this release, you authorize Gateway Alliance Church, Gateway Kids, Gateway Youth and its employees and volunteer leaders to communicate with your child/children now and in the future via email, text, and other social media platforms (Facebook, Instagram, Messenger, etc ) in accordance with our Social Media Policy (available on request) for the following reasons: to inform your child/children about upcoming youth and Kid events & registration deadlines, to respond to any messages your child/children may send Gateway Youth or Gateway kids & it's leaders, and to connect with your child/children in order to build deeper leader-student relationships. (please note that if your child is in the gateway Kids program all communication will be done through the parents only)





By checking yes below & furthermore by signing this form, you acknowledge that as the legal guardian of the child/children named on this form, you have read the rules of conduct, have discussed them with your child/children, and grant permission for the child/children to participate in this event according with the policies listed above. *
Yes, I have read the terms and conditions outlined above
Gateway Youth Expectations
  1. At no time are any youth allowed to leave the event location without a leaders consent or knowledge
  2. Everyone is expected to respect any/all leaders that you encounter during this event, as well as the other youth that you are with.
  3. Please honor and respect all facilities, vehicles, homes and properties that you are visiting
  4. Bullying will not be tolerated. 
  5. With the exception of emergency medication, there will be no smoking,alcohol or drugs permitted of any kind 


By checking yes below & furthermore by signing this form, you acknowledge that you will review these rules with your child/children before this event, and that your child/children's failure to follow these rules will result in them being sent home, and that you will be responsible to pick up your child. If you are unable to pick up your child, a suitable ride will be determined at your expense. Remember, there are no refunds if your child must be picked up. *
Yes, I have read the above rules & will review them with my child/children
Monthly Updates
to recieve monthly updates on our Programs at Gateway check the boxes below *
Youth Updates
None
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Relationship*
Phone*
Select Gender
Parent or Guardian's Date of Birth*
Date of Birth
Information
Grade:*
Gender:*
Email Address
Phone Number

MEDICAL INFORMATION

Health Card # *

Please list all the students known allergies, and any medication they may bring

Please list all known health conditions which may affect their participation in this event
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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