New Life Church Atlantic - Student Ministry Year-Round Parent Permission 2025

NLC 2025 Student Parent Permission

Student's First Name

Student's Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Birthdate

Gender

Grade

Allergies

Parent/Guardian's First Name

Parent/Guardian's Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Phone Number

Email

I, the undersigned, being the parent or legal guardian of the youth named above, do hereby consent to the participation of my youth in all the scheduled youth activities of New Life Church Atlantic COGOP Student Ministry, and any other supervised activities customarily associated with its youth group, including youth rallies and overnight or weekend youth trips. Further, I certify that my youth is physically fit and adequately prepared to participate in all recreational and sporting events. If I wish to revoke this consent for any reason, I will promptly notify the youth leader in writing.

Yes

No

I understand the following: All youth must be in grades 6-12 only.

Yes

No

I understand the following: Parents must provide a phone number where they can be reached during all events in case of emergency. •

Yes

No

I understand the following: Parents will be called to pick up their Student acts in a manner deemed unacceptable by New Life Church Atlantic COGOP Student Ministries Leaders and/or Parent Chaperones.

Yes

No

TRANSPORTATION PERMISSION: The undersigned does also hereby give permission for my Student to ride in any vehicle driven by an approved and licensed ADULT chaperone while attending and participating in activities sponsored by New Life Church Atlantic COGOP. My child/youth and I understand that SEAT BELTS MUST BE WORN AT ALL TIMES during transportation.

Yes

No

MEDIA RELEASE: As a parent or guardian of this Student, I hereby consent for New Life Church Atlantic COGOP to the use of photographs/videotape taken during the course of the year of my student for publicity, promotional and/or educational purposes (including publications, presentation or broadcast via newspaper, internet or other media sources).

Yes

No

MEDICAL TREATMENT: As a parent/guardian of this Student, I do hereby auhorize the treatment by a qualified and licensed Medical Doctor in an emergency which, in the opinion of the attending physician, may endanger the life of the student, cause a disfigurement, physical impairment, or undue discomfort if delayed. This authority is granted only after a reasonable effort has been made to reach me.

Yes

No

Emergency Contact:
(in the event you can not be reached)

First Name

Last Name

Phone Number

RULES
1. All youth must have this permission form filled out, indicating their agreement to these rules.
2. No one can attend the New Life Church Atlantic COGOP Student Ministry Events without a signed parental permission slip and contact numbers. Parents may be called to verify if there is doubt.
3. Students will not be allowed to go outside of church or venue without adult supervision.
4. No insults or sarcasm: We do not put others down, make fun of others (especially those who arenʼt with us), pick on others, or gossip about.
5. Use your body respectfully: No revealing clothing, no PDA, no chasing, throwing, or hurting others.
6. Keep it clean: no swearing
7. During Lock-Ins, all youth must remain within the church. No unauthorized exiting or entering will occur.
8. NO personal video games, trading cards, or electronic devices (cell phones will be allowed for emergencies only).
9. Special medication or required items should be indicated on the Medical Release form and given to the Chaperones.
10. No illegal drugs, alcohol, dangerous materials, or firearms.
11. All Students must respect othersʼ physical boundaries. Inappropriate behavior (i.e., Physical intimacy or sexual harassment) is not permitted and will NOT be TOLERATED!
12. If Overnight Event, Same-sex sleeping quarters will be provided. Lights out/quiet hours will be observed in these areas.
13. It is expected that all Students (youth and adults) will participate in the program.
14. Take care of yourself and clean up after yourself.
15. Be considerate and respectful of other participants and leaders.
16. Be respectful of the church and property of the church.
17. Violation of these rules will result in disciplinary action and may include the participant being asked to leave the lock-in. Parents will be called to pick them up regardless of the hour.
18. The first infraction will result in a verbal warning. Repeated violations will result in calling the parent to pick the youth up.
19. THE ENFORCEMENT OF THESE RULES IS EVERYONE'S RESPONSIBILITY.
I have read the above rules and agree to abide by them.

Date Input

Signature

Student Ministry
Year-Round Parent permissions

NLC 2025 Student Parent Permission

Emergency Contact:
(in the event you can not be reached)

About

Service Times

Contact Info

Follow Us

Student MinistryYear-Round Parent permissions

NLC 2025 Student Parent Permission

Emergency Contact:(in the event you can not be reached)

About

Service Times

Contact Info

Follow Us

Student Ministry
Year-Round Parent permissions

Emergency Contact:
(in the event you can not be reached)