The LDS Permission Form is a crucial document used by The Church of Jesus Christ of Latter-day Saints to grant permission for participation in various events and activities. This form ensures that all necessary medical and safety considerations are addressed, especially for events that involve special circumstances or higher risks. To facilitate your child's participation, please fill out the form by clicking the button below.
The LDS Permission and Medical Release Form is an essential document designed to ensure the safety and well-being of participants in various church-related activities. This form must be completed for each event or activity that involves special considerations, such as overnight stays, travel outside the local area, or events with higher-than-average risks. It collects important details about the event, including the date, description, and contact information for the event leader. Additionally, it gathers vital information about the participant, such as their age, emergency contact details, and any medical needs or dietary restrictions. Parents or guardians are required to provide consent for their child or youth to participate, along with authorization for adult leaders to administer emergency treatment if necessary. The form emphasizes the importance of adhering to church standards and safety rules, reminding participants that their behavior can impact their ability to take part in future activities. By addressing these critical aspects, the LDS Permission and Medical Release Form plays a crucial role in fostering a safe and supportive environment for all involved.
THE CHURCH OF
Permission and Medical Release Form
I
OF LATTER-DAY SAINTS
JESUS CHRIST
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Complete this form separately for each event or activity involving special considerations (see Handbook 2: Administering the Church, 13.6.20, ChurchofJesusChrist.org), an overnight stay, travel outside the local area, or an activity with higher than ordinary risks.
Event Details (to be filled out by event planner)
Event
Date(s) of event
Describe event and activities (please be specific)
Ward
Stake
Event or activity leader
Event or activity leader’s phone number
Event or activity leader’s email
Participant
Date of birth
Age
Primary telephone number
□ Home
Secondary telephone number
□ Cell □ Work
Address
City
State or province
Emergency contact (parent or guardian)
Does the participant require a special diet?
If yes, please explain the dietary restrictions
□ Yes □ No
Does the participant have any allergies?
If yes, please list the allergies
Is the participant taking any medication or over-the-counter (OTC) drugs?
If yes, can the participant self-administer his or her medication?
□ Yes □ No If no, please contact the event or activity leader directly.
List all prescription or over-the-counter (OTC) medications the participant is taking
Does the participant have a chronic or recurring illness?
If yes, please explain
Has the participant had surgery or a serious illness in the past year?
Identify any other limits, restrictions, or disabilities that could prevent the participant from fully participating in the event or activity (attach additional pages if needed)
Other Accommodations or Special Needs
Identify any other needs or considerations the participant has that the event or activity planner should be aware of (attach additional pages if needed)
Permission
I give permission for my child or youth to participate in the event and activities listed above (unless noted) and authorize the adult leaders supervising this event to administer emergency treatment to the abovenamed participant for any accident or illness and to act in my stead in approving necessary medical care. This authorization shall cover this event and travel to and from this event.
The participant is responsible for his or her own conduct and is aware of and agrees to abide by Church standards, camp or event safety rules, and other pertinent instructions. Participants’ conduct and interactions should abide by Church standards and exemplify Christlike behavior. Parents and participants should understand that participation in an activity is not a right but a privilege that can be revoked if they behave inappropriately or if they pose a risk to themselves or others.
Participant’s signature
Parent or guardian’s signature (if necessary)
Date
© 2017, 2019 by Intellectual Reserve, Inc. All rights reserved. 5/19. PD60004035 000
Completing the LDS Permission form is an essential step for participation in events or activities organized by the Church. This form ensures that all necessary information is collected to facilitate a safe and enjoyable experience for everyone involved. Below are the steps to fill out the form accurately.
The LDS Permission and Medical Release Form is designed to ensure the safety and well-being of participants in church-sponsored events. It collects essential information about the participant's medical needs, dietary restrictions, and any special accommodations required. Additionally, it grants permission for adult leaders to administer emergency treatment if necessary.
This form should be completed for each event or activity that involves special considerations. These include overnight stays, travel outside the local area, or activities that carry higher-than-usual risks. It is essential to fill out the form separately for each event to provide accurate and relevant information.
The form requires detailed information, including:
The form must be signed by the participant if they are of age. If the participant is a minor, a parent or guardian must provide their signature. This authorization ensures that both the participant and their guardians understand the responsibilities and risks involved in the event.
If the participant has any medical issues, such as allergies or chronic illnesses, it is crucial to disclose this information on the form. This allows event leaders to make necessary accommodations and ensure the participant's safety during the event. If the participant requires medication, the form should specify whether they can self-administer it.
Yes, participation in church activities is considered a privilege, not a right. If a participant behaves inappropriately or poses a risk to themselves or others, their participation can be revoked. It is essential for all participants and their guardians to understand and abide by Church standards and event safety rules.
Filling out the LDS Permission and Medical Release Form can be straightforward, but mistakes often occur. One common error is not completing the form for each event. Each activity may have different considerations, and failing to submit a separate form can lead to confusion or lack of proper authorization.
Another mistake is omitting specific details about the event. The form asks for a description of the event and activities. If this section is vague, it can create misunderstandings about what the participant will be doing. Providing clear and detailed information helps ensure everyone is on the same page.
People sometimes forget to include emergency contact information. This is crucial in case something happens during the event. Without accurate contact details, it may be challenging to reach a parent or guardian quickly if needed.
Dietary restrictions and allergies are often overlooked. If the participant has specific dietary needs or allergies, it is vital to explain these clearly on the form. Failing to do so can lead to health risks during the event.
Another frequent oversight involves medication. Participants who take prescription or over-the-counter medications must list them accurately. If a participant cannot self-administer their medication, this should be clearly stated. Not doing so can lead to serious issues during the event.
Some individuals neglect to mention chronic illnesses or past surgeries. This information is important for event leaders to know. It helps them provide appropriate support and accommodations, ensuring the participant’s safety and well-being.
Additionally, people often forget to sign the form. Both the participant and, if necessary, the parent or guardian must sign to validate the permission granted. An unsigned form is not considered valid and could prevent participation.
Lastly, not reviewing the form before submission can lead to errors. Taking a moment to double-check all entries can help catch mistakes. A thorough review ensures that all necessary information is provided and that the form is complete.
The LDS Permission form is an essential document for events organized by the Church of Jesus Christ of Latter-day Saints. It ensures that parents or guardians give consent for their children to participate in activities, especially those that may involve special considerations. Alongside this form, several other documents may be required to ensure the safety and well-being of participants. Here are some commonly used forms and documents:
Having these forms and documents in place helps create a safe and organized environment for all participants. They serve to protect the interests of both the Church and the families involved, ensuring a positive experience during events and activities.
The LDS Permission and Medical Release Form shares similarities with several other documents that also focus on participant safety and parental consent. Here are four such documents:
When filling out the Lds Permission form, it is essential to ensure that all information is accurate and complete. Here are five important dos and don'ts to keep in mind:
This is incorrect. The LDS Permission and Medical Release Form is required for various types of activities, not just those involving overnight stays. It is needed for events with higher than ordinary risks, travel outside the local area, and other specific considerations.
While participants who are 18 or older can sign the form themselves, parental involvement may still be necessary for certain activities, especially those with higher risks. It is advisable for parents to be aware of the event details regardless of the participant's age.
In addition to medical information, the form also gathers data about dietary restrictions, allergies, and other accommodations needed for participants. This ensures that event planners can provide a safe and inclusive environment.
Submission of the form does not guarantee participation. The event planners reserve the right to revoke participation based on behavior or other considerations that may pose risks to the individual or others.
The form can be used for participants of all ages, including children and adults. It is designed to address the needs of any individual participating in church-related events.
Each event may require a separate form to account for specific details and conditions. Participants must complete the form for each event or activity that involves special considerations.
While the form serves to inform organizers about participants’ needs and permissions, it does not completely eliminate liability. Organizers must still adhere to safety protocols and take necessary precautions to mitigate risks during events.
When filling out the LDS Permission and Medical Release Form, consider the following key takeaways: