CUTTING EDGE YOUTH MINISTRIES

Permission Slip & Medical Release Form

I, the undersigned parent give permission to the undersigned youth to attend the (fill in activity)_____________________________________________on (fill in date)___________________. I understand that while my child participates in any church sponsored activity, he/she is responsible to abide by the rules set forth by the church and its leaders. Any serious infraction of the rules will result in dismissal from the event, and I will be responsible to pay for all the expenses incurred for returning my child home.

I assume financial responsibility for all medical expenses and for the use of an ambulance to transport my child to the nearest health care facility should such a need arise. I also hereby release The Church of Grace and Peace, its employees, and ministry leaders from any liability in the case of an unforeseen accident and/or sickness my child may suffer while participating in a church sponsored event.

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Signature of YouthDate

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Signature of Parent or Legal GuardianDate

Please list any medications presently being taken:

Please list any allergies:

Phone number(s) where you may be reached: