Parental Consent Form for Minors Attending Religious Retreats
Minor's Information
Full Name of Minor
Date of Birth
Address
Parent/Guardian Information
Full Name of Parent/Guardian
Contact Number
Email
Retreat Information
Name of Retreat/Event
Start Date
End Date
Location
Medical Information
Medical Conditions/Allergies
Emergency Contact Name
Emergency Contact Number
Consent and Authorization
I, the undersigned, am the parent or legal guardian of the minor named above and give my permission for them to attend and participate in all activities at the mentioned religious retreat. I authorize the adult leaders to seek medical attention in case of emergency.
Parent/Guardian Signature
Date
Minor Signature
Date