NGWC - tribe-yth-release-form

Child First Name

Child Last Name

Child Birthdate

Parent/Legal Guardian First Name

Parent/Legal Guardian Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Allergies

I give my child permission to use 'GroupMe' for point of contact with the youth group:

Yes

No

If not, I as the parent/guardian will join the Tribe Youth Parent group to relay important information to my child:

Yes

No

I understand that 'GroupMe' is a communication/social media platform and my child will have access to talk to people they may or may not know (the same as Facebook/Instagram/TikTok etc.) and it is my discretion as the parent/guardian for my child to use this communication app:

Yes

No

My child is allowed to ride the church van to/from church and/or church activities:

Yes

No

I understand that accidents occur and NGWC or its leaders are not responsible for accident/injury that may happen on outings or during transportation:

Yes

No

If necessary, my child is allowed to have the following medications while at church or in the care of Tribe YTH leadership:

Select any that apply

Ibuprofen

Tylenol

Benadryl

Tums

Please sign and date below:

Tribe YTH Release Form

join us on groupme:

Tribe YTH Group

Tribe YTH Parent Group

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