Ally Youth Permission & Consent Form

Birchy Bay | May 6, 2022

This coming Friday we, Ally Youth (Lewisporte, Embree and Brown's Arm), will be leaving Philadelphia Pentecostal @ 6.30pm and heading to Birchy Bay via a bus (Buckle's Enterprise LTD). We expect to return to Philadelphia Pentecostal at 10.30pm. We will be attending the Ally Youth rally along with youth groups from Carter's Cove, Virgin Arm and Birchy Bay. Please fill out the permission form below, permitting your pre-teen/teen to attend. We are asking students to arrive at the Philadelphia Pentecostal @ 6.15pm.

 

Seating on the bus is limited so please fill out this permission form to confirm a seat for your pre-teen(s)/teen(s).

 

There is no cost to attend this event! 

Community

I hereby consent to the participation of my/our child(ren) in this supervised activity.

 

The safety of your youth is our primary concern. Precautions will be taken for their well-being and protection. I/we, the parents or guardians named below, authorize one of the program personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedure for the participant named above.

 

I/we, named below, undertake and agree to indemnify and hold harmless program personnel, PAONL and its leaders from and against any loss, damage or injury suffered by participant as a result of being part of the activities, as well as of any medical treatment authorized by the supervising individuals representing the PAONL. This consent and authorization is effective only when participating in or travelling to events sponsored by the PAONL.

I/we, named below, undertake and agree to indemnify and hold blameless Pentecostal Assemblies of Newfoundland and Labrador, its personnel, its leaders and Board from and against any loss, damage, injury suffered by the participant as a result of being part of the activities of Pentecostal Assemblies of Newfoundland and Labrador, as well as of any medical treatment authorized by the supervising individuals representing Pentecostal Assemblies of Newfoundland and Labrador. This consent and authorization is effective only when participating in or traveling to events of Pentecostal Assemblies of Newfoundland and Labrador.

Thanks for registering.