2026 Student Permission Form

Name

Phone

Address

DOB

Parent/Guardian Name

Parent/Guardian Phone

Parent/Guardian Email

This address will receive a confirmation email

I give permission for my child to attend this activity(s) with South New Milford Baptist Church. In the event of an emergency, I give permission for the adults in charge of the group to seek necessary medical treatment for my child; I understand that I will be contacted before any medical treatment is begun except where a delay in a treatment would not be in the best interest of my child.

I agree

Please indicate this permission for a single event (list event) or for all 2026 events:

List any special medical information or allergies:

Parent/Guardian Signature (please type your name)

Description

Please fill out this form and click submit.

2026 Student Permission Form

Description

Please Fix the Following