Parents/Guardians Consent Form

Participant Information
Participant Name*
First Last
Birthdate*
Age*
Grade in School Year*
Parent/Guardian Information
Parent/Guardian Name*
First Last
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
In case of injury or need of assistance, the best available emergency contact person is:
Parent/Guardian Name*
First Last
Relation*
Phone*
Parent/Guardian Agreement
Electronic Consent*
- We, the undersigned parents/guardians of the above named participant, grant permission for the participant to participate in: Activities on and off campus for the time period of June 1, 2020 through September 1, 2021. We have been advised of the nature and extent of the activities that may take place and represent to you that the participant is physically and mentally able to participate in those activities. We, as parents and guardians, understand that these activities, as in any activity for youth, do present the risk for injury, or even death, to the participant, rare as they may be, and we have advised the participant of those possibilities. We represent to you that we and the participant assume the risk of any such injury or death, and hold you, your agents, employees, and representatives harmless from any liability for injury to the participant while engaged in any activity which is caused or contributed to by the conduct of the participant, and agree to indemnify and defend you against any claim or liability asserted against you for any such injury or death to participant. We also hold you, your agents, employees, and representatives harmless from all liability to any other person or entity arising as a result of the conduct of the participant in these activities and agree to defend and indemnify you, your agents, employees, and representatives against any claim or liability arising as a result of such conduct. If we, as parents or guardians, are not personally present at these activities in which the participant is to participate, so as to be consulted in the case of necessity, you are authorized on our behalf to arrange for such medical and hospital treatment as you may deem advisable for the health and well-being of the participant. These activities are church-sponsored and will have a spiritual emphasis. My child has insurance and is under the supervision of Wood Village Baptist Church. We, as parents or guardians, authorize transportation by Wood Village Baptist Church which may include church-owned vans, rented vehicles and/or private vehicles.
- We give permission for Wood Village Baptist Church, its employees and volunteers to use images of myself/my child, captured during regular and special activities through video, photo or other digital media to be used for promotional material and publication.
I am the parent/guardian. The following acts as my electronic signature on this consent form:*
Date*
MM slash DD slash YYYY
Student/Participant Agreement
Electronic Consent*
- I, as the participant, understand that while in attendance of any and all activities sponsored by Wood Village Baptist Church, I am under the direction and authority of those leaders in charge. I also understand that the use of alcoholic beverages, illegal drugs, tobacco, fireworks, foul language, and abusive and lewd behavior are prohibited. These events will be run within the standards set by Wood Village Baptist Church. I am expected to make sure a sponsor is aware of where I am at all times. Any failure on my part to comply with the rules and/or regulations can result in immediate expulsion by asking my parents or guardians to pick me up. I understand these events have a spiritual emphasis. I have read this entire form, agree to its contents, and have discussed it with my parents.
I am the student. The following acts as my electronic signature on this consent form:*
Date*
MM slash DD slash YYYY

Contact Info

Address

23601 NE Arata Road
Wood Village, OR 97060

Call Us

Tue-Fri 8:30am - 4:30pm PST
503-661-7686

Email Us

Office: [email protected]
Pastor Bill: [email protected]
Pastor Tom: [email protected]
Pastor Raymond: [email protected]

Parents/Guardians Consent Form

Participant Information

Parent/Guardian Information

In case of injury or need of assistance, the best available emergency contact person is:

Parent/Guardian Agreement

Student/Participant Agreement

Contact Info

Address

Call Us

Email Us

Location

Contact

WORSHIP SERVICE

SPECIAL ANNOUNCEMENTS

Quick Links

ASK THE PASTOR

Location

Contact

WORSHIP SERVICE

SPECIAL ANNOUNCEMENTS

Quick Links

ASK THE PASTOR

Location

Contact

WORSHIP SERVICE

SPECIAL ANNOUNCEMENTS

Quick Links

ASK THE PASTOR