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The Way Student Ministries Permissions 2025-2026

ATTENTION: IF YOU HAVE MORE THAN ONE CHILD A SEPARATE FORM WILL NEED TO BE FILLED OUT FOR EACH STUDENT. A parent or a guardian MUST be the one to fill this out for any students under the age of 18.

Your name *

Last name

Email address *

Do you (the parent/guardian) currently attend Corner Bible Church? *

Yes

Parent Phone: *

Student's Full Name (ONLY ONE STUDENT PER FORM PLEASE): *

ANNUAL PERMISSION SLIP 2025-2026

I (the undersigned parent/guardian) give permission for my child to participate in Corner Bible Church’s (henceforth referred to as CBC) The Way Student Ministries (henceforth referred to as The Way). This includes regularly scheduled on-site events, or any special events, including travel, that are sponsored by The Way during the dates: June 1, 2025 to September 15, 2026. Should any problems arise concerning the behavior of my child that would require them to return home prior to the end of the activity, I will pay for his/her return or come pick my child up.

MEDICAL TREATMENT

My child (the participant) has the permission of the undersigned to participate in The Way’s/Corner Bible Church’s activities. In the event of an emergency affecting the health or welfare of this participant, the sponsors, leaders, or chaperones have permission to administer first aid and/or transport the participant to the nearest doctor or hospital for further medical attention, as deemed necessary. The individual acting in response to the emergency will be held blameless. Any medical expenses occurring will be borne by the parents or guardians of the participant.

RELEASE OF LIABILITY

RELEASE OF LIABILITY
I/We, the parent(s) or legal guardian(s) of the above participant do hereby release Corner Bible Church, the church staff, all sponsors, and volunteers from any and all liability resulting from any physical injury, property damage, or other injury or damage which occurs in connection with the above events.

Parent/Guardian's Electronic Signature agreeing to the terms above. *

By typing my name below I agree and understand that by signing below that all electronic signatures in this document are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.

Signature Date *

STUDENT INFORMATION

Household members

Please fill out these fields for only ONE CHILD PER FORM. Thank you!

School *

Student's Phone (optional):

Student's email address (optional):

EMERGENCY CONTACTS

Name & Relationship *

Other than the parent/guardian filling out this form.

Phone Number *

Name & Relationship *

Other than the parent/guardian filling out this form.

Phone Number *

MEDICAL MATTERS

Of the following statements pertaining to medical matters: Check and sign only those in accordance with your wishes.

I hereby warrant that to the best of my knowledge, my child is in good health, and I assume all responsibility for the health of my child. *

Does your child take any medications? *

Yes

I hereby grant permission for nonprescription medications to by given to my child if deemed advisable. *

If you click yes, a checklist will pop up allowing you to choose which medications are acceptable to you for your child.

Yes

Please list any known allergies:

Leave blank if this doesn't apply.

Please list any physical limitations:

Leave blank if this doesn't apply.

Please list any dietary needs/restrictions:

Leave blank if this doesn't apply.

Are there any other issues or concerns we should be aware of?

Yes

HEALTH INSURANCE INFORMATION

Health Insurance Company:

Policy Number:

Policy Holder's Employer:

Policy Holder's Name:

PHOTOGRAPHY RELEASE

Permission to use my child’s image *

I recognize that The Way/CBC uses photographs and video images of events in their publicity materials such as the church website, social media, and newsletters and I hereby grant permission for photo/video images of my child to be taken and used for such purposes.

Yes

STUDENT TRANSPORTATION

I, the parent or gaurdian, give permission for my child (student stated above), to participate in the activity organized by The Way. I understand that this activity will/may involve transportation, and I give my consent for my child to be transported in a vehicle provided by the church or a contracted transportation service. I understand that the mode of transportation may include buses, vans, or cars, and that the transportation may take place on public roads. I understand that CBC/The Way will take all necessary precautions to ensure the safety of my child during transportation. In the event of an emergency during the transportation, I authorize the school or a contracted transportation service to seek medical attention for my child if needed. I understand that I will be notified as soon as possible if such an emergency occurs.

I acknowledge that I have read and understand this transportation permission form, and I agree to all of its terms and conditions. *

Yes

Parent/Guardian's Electronic Signature *

Signature Date: *

Corner Bible Church
ask@cornerbiblechurch.com