Waiver & Permission Form

Please fill out the following form.

Parent's First name

Parent's Last name

Parent's Phone Number

Parent's Email

Child's Name

Child's Date of birth

Month

Day

Year

Does your child have any medical conditions, allergies, or physical limitations that we should be aware of?

Yes

Does your child know how to swim?

Yes

If you answered yes to the medical conditions, allergies, or physical limitations above, please supply additional information.

I declare that the info I’ve provided is accurate and complete.

I give permission for my child to participate in Little Fishermen's Ministry activities, including fishing, Creekside Bible study, and supervised outdoor activities.

I understand that outdoor activities involve risks including water, uneven terrain, fishing equipment, insects, and weather conditions, and I release Little Fishermen's Ministry and its volunteers from liability except in cases of gross negligence.

By signing below, I certify that I am the parent or legal guardian of the participant and that the information provided is accurate.

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