HYPE CHILD WAIVER | The Harvest Tabernacle

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email Address

Parent/Guardian Phone Number

Child's First and Last Name

How old is the child?

When is the child's birthday?

Month

Day

Year

What grade level is the child?

Are there any allergies or any special things about the child that we should know? Please share below.

Emergency Contact Name: (if different)

Emergency Contact Phone:

Participation Consent

I, the parent/guardian of the above-named youth, give permission for my child to participate in all activities, programs, events, and gatherings hosted by H.Y.P.E. Youth Ministry.

Liability Release

I understand that all reasonable safety measures will be taken by H.Y.P.E. staff and volunteers.

However, I acknowledge that participation in youth activities may involve physical movement or travel, and I release H.Y.P.E. Youth Ministry, its staff, volunteers, and The Harvest Tabernacle Church from any liability for injury, accident, or incident that may occur during ministry activities, except in cases of gross negligence.

Medical Authorization

In the event of an emergency where I cannot be reached, I give permission for the H.Y.P.E. Youth leadership team to secure necessary medical treatment for my child.

I agree to assume full financial responsibility for any medical services provided.

Allergy & Medical Responsibility

I understand that it is my responsibility to clearly list all allergies or medical conditions above.

I also understand that the ministry may not be able to accommodate all special medical needs but will make every reasonable effort to ensure my child’s safety.

Transportation Consent

I give permission for my child to be transported by approved H.Y.P.E. staff or volunteers for ministry-related activities when necessary (church vans, leader vehicles, or rented transportation).

I will be notified in advance of any off-site event requiring transportation.

Media Release

I grant permission for my child’s image, voice, or likeness to be used in photos, videos, and promotional materials for H.Y.P.E. Youth Ministry and The Harvest Tabernacle Church, both digitally and in print.

I DO NOT Consent For Media Release

I DO NOT grant permission for my child’s image, voice, or likeness to be used in photos, videos, and promotional materials for H.Y.P.E. Youth Ministry and The Harvest Tabernacle Church, both digitally and in print.

Behavior Expectations

I understand that my child is expected to follow all rules set by H.Y.P.E. Youth staff and volunteers. Failure to comply may result in my child being dismissed from an activity or a parent being called to pick them up.

Communication Permission

I give permission for my child to receive ministry-related communication (messages, reminders, updates) through the H.Y.P.E. app or ministry-approved platforms.

Parent/Guardian Signature

I have read, understood, and confirm that I am the parent/legal guardian of the minor named in this form and agree that submitting this form electronically provides my consent for their participation and this serves as my electronic signature.

Parent/Legal Guardian Full Name

Electronic Signature

Date