Year-Round Parental Release for Minors in FGC Youth Programs

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Si necesita ayuda para llenar este formulario en español, favor de comunicarse con Marian Dalke al o 215-561-1700 ext 3050.
This form is for parents/guardians of Middle and High School participants in FGC youth programming and committee work. We ask that parents/guardians of children under the age of 10 be present during our youth programs, therefore we do not require a parental release form for children under age 10.

This form only needs to be completed once and applies to all programming during the 2021-2022 school year (not including the summer Gathering).
PARENTAL RELEASE - for all attendees under age 18 
Event: FGC's Youth Programs, Family Places, Youth Summits, Spiritual Mentorship and Committee Meetings 
Dates: Various times July 2021-June 2022
Location: Zoom meeting

This permission is valid until July 3, 2022
Information about Minor

Parent/Guardian Emergency Contact for Minor
This section must be completed by parents/guardians for all participants. 

Alternate Emergency Contact

About Your Teen
Staff and parents/guardians share responsibility to optimize each participant's opportunity to succeed in the program. In order to create a supportive environment for all participants, it is essential that we know of any youth needs in advance. We are grateful for your support in this matter.
Does your teen have any:

Please click the Submit button below. You will be prompted to sign the document. Then check your email and click the link to verify your signature.

You will then be forwarded to the Online Child Safety Policy.