The undersigned hereby requests and gives Trinity Lutheran Church permission to have my child, (child's name)

______________________________, attend (Youth Activity)

______________________________ , on (date)

______________________________ , and with this signed agreement, the undersigned absolves the leaders, Trinity Lutheran Church, and any and all members of its governing boards of any responsibility for the safety, welfare, health and well-being of the child named above, beyond such matters as may be called reasonable care for youth in the custody of a leader and subject to the leader's clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above named youth during the time of the specified activity.

 

 

            The undersigned hereby requests and gives Trinity Lutheran Church permission to have my child, ______________________________ , attend all monthly Jr. & Sr. Youth Activities for an entire calendar year and with this signed agreement, the undersigned absolves the leaders, Trinity Lutheran Church, and any and all members of its governing boards of any responsibility for the safety, welfare, health and well-being of the child named above, beyond such matters as may be called reasonable care for youth in the custody of a leader and subject to the leader's clear instructions, and assumes personally and exclusively all responsibility and liability for accident, injury, etc., which may occur to the above namedchild during the time of the specified activity. (Specific activities may require extra permission slips.)