Youth's Full Name *

First Name

Last Name

Youth's Gender *

Male

Female

Youth's Date of Birth *

MM

DD

YYYY

Name of Parent or Guardian 1 *

First Name

Last Name

Name of Parent or Guardian 2

First Name

Last Name

Parent or Guardian 1's Phone Cell Number *

(###)

###

####

Parent or Guardian 2's Phone Cell Number

(###)

###

####

Youth's Cell Number (if applicable)

(###)

###

####

I consent to my child to take part in group social events (this could include nights away and coach/mini bus trips) and group Sunday morning events during the service (this includes walking back to church at the end with Youth leaders.) All transportation will be in accordance with our Child Protection Policy *

Yes

No

I agree to photographs and short videos of activities including my child to be taken for use within the church community and on the bulletin board. No pictures that we take will be posted on social media networks by our leaders. However, we cannot control and are not responsible for what our youth do on their own *

Yes

No

I agree to any emergency treatment to be given considered necessary.The medical profession takes the view that a parent’s consent to medical treatment cannot be delegated. Medical consent forms have no legal status and a doctor has the right to insist parental consent before treating a child. We have found, however, that medical staff find this type of general consent helpful. We recognize that circumstances/information changes and if it does it is my responsibility as a parent/guardian to make VCF Youth Leaders aware in writing so that changes can be made to the existing form or a new form can be completed. *

Yes

No

Student's Full Name: *

First Name

Last Name

Student's Gender: *

Male

Female

Student's Date of Birth: *

MM

DD

YYYY

Address: *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Parent/Guardian 1 *

First Name

Last Name

Name of Parent/Guardian 2

First Name

Last Name

Parent/Guardian 1's Phone Number *

(###)

###

####

Parent/Guardian 2's Phone Number

(###)

###

####

Do you give consent to have photos of your child in Sunday school activities to be taken? *

If children are identified, only their first name will be used. The Church will not use your child's photograph for any purpose other than as part of the Sunday school Curriculum, or, for the general promotion of our Sunday school program / Vanderhoof Christian Fellowship

Yes

No

Name *

First Name

Last Name

Name *

First Name

Last Name