Youth Permission/Registration Form
2020/2021
  • Parent/Guardian Information

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  • Student Information

  • Emergency Contact

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  • Participation Waiver

    I, the above named parent/guardian, give my voluntary consent for the above named student to participate in activities in association with Fort Saskatchewan Alliance Church.


    I release Fort Saskatchewan Alliance Church, it's Elders Board, staff, volunteers and agents from any loss, personal injury, accident misfortune or damage to the above named student or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above named. I understand that Fort Saskatchewan Alliance Church, its staff, volunteers or agents reserve the right to dismiss a participant who is in their opinion a hazard to the safety and wellbeing of others, who appears to have rejected the reasonable guidelines of the activity.

    Pertaining to current circumstances, namely the state of global pandemic due to the COVID-19 virus (or any other strain of this or any other virus) you must agree to understanding the following: COVID-19 is highly contagious and is known to spread mainly from person-to-person contact. By attending any event associated with the Youth Program of Fort Saskatchewan Alliance Church, you and your family agree to abide by the procedures established to protect attendees and staff, and you voluntarily assume the risk that you and/or your family may be exposed to or infected by COVID-19, in which case you agree to release Fort Saskatchewan Alliance Church, its staff, volunteers or agents from liability.

    *Please note that certain activities will require a mask and/or gloves in order to attend. You will be notified in advance through the weekly Youth Mailchimp when a mask and/or gloves will be required.

    If you accept and agree with the terms and conditions stated above please click
    "I AGREE."
  • Medical Waiver

    Furthermore, I authorize Fort Saskatchewan Alliance Church staff or volunteers to approve and obtain any and all medical attention if deemed necessary; with the understanding that all reasonable attempts have been made to consult with myself beforehand except in the case of minor illness and/or first aid where deemed appropriate. Furthermore, I release Fort Saskatchewan Alliance Church, it's Elders Board, staff, volunteers and agents from any loss, personal injury, accident misfortune or damage to the above named student or his/her property, with the understanding that reasonable precautions shall be taken to ensure the health and safety of the above named. I understand that Fort Saskatchewan Alliance Church, its staff, volunteers or agents reserve the right to dismiss a participant who is in their opinion a hazard to the safety and wellbeing of others, who appears to have rejected the reasonable guidelines of the activity.

    If you accept and agree with the terms and conditions stated above please click "I AGREE."

  • Photography Release


    I, the above named parent/guardian, give permission for the above named student to have his/her photograph taken or to be video recorded and understand that it may be used in the following ways: motion picture video, slide shows or still images shown at Fort Saskatchewan Alliance Church during public services or community events, posted to the church website, public church or Youth specific Facebook or Instagram page, or printed for bulletins, posters, invitations or other promotional material.

    I understand that by clicking "I AGREE" that I am consenting to my child's photograph or video recording being used in the above stated ways and the risks associated with that. I hereby release Fort Saskatchewan Alliance, its Elders Board, staff, volunteers and agents from any consequences that may occur from the above stated activity.
  • Transportation Release


    I, the above named parent/guardian, give my voluntary consent for the above named student to be transported by staff, ministry leaders or volunteers associated with Fort Saskatchewan Alliance Church. I understand that the mode of transportation may include but is not limited to personal vehicles of Fort Saskatchewan Alliance Church staff, volunteers or agents, rented vehicles and/or commercial vehicles driven by Fort Saskatchewan Alliance Church staff, volunteers or agents. Transportation may include but is not limited to transportation for weekly youth events, off-site events, conferences and other travel associated with Fort Saskatchewan Alliance Church Youth. Furthermore, I will assume all liability for injury that may result during the transport to, from, during the event or at the destination. I release Fort Saskatchewan Alliance Church, it's Elders Board, staff, volunteers and agents from any loss, personal injury, accident and misfortune or damage to the above named student or his/her property, with the understanding that the reasonable precautions shall be taken to ensure the health and safety of the above named.

    By clicking "I AGREE", I agree to the above stated terms and conditions, accept full responsibility and grant permission for the above named student to participate in the above named activities.
  • *Please note that by filling out this form you are giving permission to be on our mailing list for our weekly Youth Mailchimp. How exciting!

    Just go to the Fort Youth page and subscribe!