Copy of Prince of Peace Lutheran Church's 2018-2019 Youth Consent Form

This document will serve as your child's consent form for all youth activities (at Prince of Peace or off-site) from September 2018 through August 2019. Please be as thorough as possible. If you have any questions, contact Pastor Amanda.
 
 
Please select all that apply.
 
 
 
 
 
 
 
 
 
List the following information about your medical insurance:
 
 
 
 
 
List the following information about your child's health:
 
 
 
 
 
 
 
 
Permission and Signature

 
 

Description

This document will serve as your child's consent form for all youth activities (at Prince of Peace or off-site) from September 2018 through August 2019. Please be as thorough as possible. If you have any questions, contact Pastor Amanda.