Youth Group Volunteer Participation Consent Form
Participant Information
Youth Participant Name
Date of Birth
Address
Phone Number
Email
Parent/Guardian Information
Parent/Guardian Name
Parent/Guardian Phone Number
Parent/Guardian Email
Emergency Contact
Emergency Contact Name
Emergency Contact Phone
Relationship
Medical Information
Allergies / Medical Conditions
Medications
Consent & Agreement
Parental Consent
I agree to the terms and consent to my child’s participation.
Parent/Guardian Signature
Date