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The LDS Permission Form is a crucial document used by The Church of Jesus Christ of Latter-day Saints to facilitate the participation of youth and children in various events and activities. This form must be completed separately for each occasion that involves special considerations, such as overnight stays, travel outside the local area, or activities with higher than ordinary risks. Key sections of the form include details about the event, participant information, and health considerations. Event planners are required to provide specifics about the event's date, type, and leadership contact information. For participants, the form collects essential data including their age, contact numbers, and any dietary restrictions, allergies, or medications they may be taking. Additionally, it addresses chronic illnesses and any other limitations that might affect their ability to fully engage in the activities. The permission section requires a guardian's consent for participation and includes an authorization for adult leaders to administer emergency treatment in case of an accident or illness. This ensures that there are clear expectations regarding conduct, emphasizing the importance of adhering to Church standards and safety rules during the event. Thus, this document serves both as a safeguard for the health and safety of minors and as a reminder of the responsibilities that accompany participation in church-related activities.

Lds Permission Example

THE CHURCH OF

 

Permission and Medical Release Form

I

OF LATTER-DAY SAINTS

 

JESUS CHRIST

 

 

 

l

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

 

□ Home

 

 

 

□ Cell □ Work

 

 

 

□ Cell □ Work

 

Address

 

 

 

City

 

State or province

 

 

 

 

 

 

 

 

 

Emergency contact (parent or guardian)

Primary telephone number

□ Home

Secondary telephone number

□ Home

 

 

 

 

 

□ Cell □ Work

 

 

□ Cell □ Work

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

□ Yes □ No

 

 

 

 

 

 

 

 

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

 

 

 

□ 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

 

 

 

 

□ Yes □ No

 

 

 

 

 

 

 

 

Has the participant had surgery or a serious illness in the past year?

If yes, please explain

 

 

 

 

□ Yes □ No

 

 

 

 

 

 

 

 

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

Date

© 2017, 2019 by Intellectual Reserve, Inc. All rights reserved. 5/19. PD60004035 000

Get Lds Permission PDF Form

Form Characteristics

Fact Name Description
Event Specificity This form must be completed separately for each event or activity, especially for those involving overnight stays, travel, or higher risk activities.
Emergency Contact Emergency contact information is required, primarily a parent or guardian's details, to ensure immediate communication in case of incidents.
Medical Considerations Participants must disclose any allergies, medications, or chronic illnesses that could affect their participation in the event.
Consent for Emergency Treatment Parents or guardians must provide consent, allowing adult leaders to administer emergency treatment and approve necessary medical care during the event.
Behavioral Expectations Participants are expected to conduct themselves according to Church standards and camp rules. Inappropriate behavior may result in revocation of participation.
State-Specific Laws When applicable, governing laws may vary by state, and it is essential to consult local regulations regarding minors’ medical release forms.

Guidelines on Utilizing Lds Permission

Before filling out the LDS Permission and Medical Release Form, gather the necessary information about the event and the participant. Make sure all required details are accessible. This form needs to be completed for each event or activity that has specific considerations, such as overnight stays or elevated risks due to activities involved. Follow the steps below to accurately fill out the form.

  1. Begin with the event details section. This portion must be completed by the event planner. Fill in the Event Date(s), provide a detailed description of the event and activities, and indicate the Ward and Stake.
  2. Next, input the Event or Activity Leader’s name, phone number, and email.
  3. Proceed to the participant’s information. Enter the participant’s name, date of birth, age, and primary telephone number. If applicable, provide a secondary phone number.
  4. Fill in the address, city, and state or province of the participant.
  5. Next, record the emergency contact’s information. This should be the parent or guardian's primary and secondary phone numbers.
  6. Address dietary restrictions by checking yes or no for the participant requiring a special diet. If yes, explain the restrictions.
  7. Indicate any allergies the participant has by checking yes or no. If yes, list the allergies.
  8. For medications, check if the participant is taking any prescribed or over-the-counter drugs. If yes, specify if they can self-administer.
  9. Indicate whether the participant has a chronic or recurring illness by checking yes or no. If yes, provide details.
  10. Next, address if the participant has had surgery or a serious illness in the past year. Check yes or no, and include explanations if necessary.
  11. Identify any limits, restrictions, or disabilities that could impact participation. Provide this information in the designated area, attaching additional pages if needed.
  12. Identify any special accommodations or needs the participant may have that the event planner should be aware of, attaching extra pages if required.
  13. Finally, in the permission section, provide the parent or guardian’s consent by signing and dating the form. Ensure the participant also signs if necessary or indicated.

What You Should Know About This Form

What is the purpose of the LDS Permission and Medical Release Form?

This form allows parents or guardians to give permission for their child or youth to participate in specific events or activities organized by the Church of Jesus Christ of Latter-day Saints. It also includes a medical release, allowing event leaders to administer emergency treatment if necessary. The form ensures that everyone involved is informed about the participant's health and any special needs.

When should I complete this form?

You should complete this form for each separate event or activity that involves special considerations, such as an overnight stay, travel outside the local area, or activities with higher risks. It’s crucial to fill out a new form for each event to ensure that accurate information is provided for that specific occasion.

How much detail is required when describing the event and activities?

It is important to be as specific as possible in describing the event and its activities. Providing details helps parents and guardians understand what their child will be doing, the level of supervision involved, and any risks associated with the event.

What should I do if my child has special dietary restrictions?

If your child has special dietary restrictions, you must indicate this on the form and provide a detailed explanation. This information enables event planners to accommodate your child’s needs and ensures that they have safe food options during the event.

What happens if my child requires medication during the event?

You should list all medications your child is taking on the form. If they can self-administer their own medication, please indicate that clearly. If not, you should contact the event leader directly to discuss how their medication will be managed during the event.

Is there a need to disclose any allergies or chronic illnesses?

Yes, it’s essential to disclose any allergies or chronic illnesses your child may have. This information helps event leaders provide necessary care and safeguards during the event. In the case of allergies, it’s particularly important to avoid any potentially harmful situations.

What does it mean to authorize leaders to administer emergency treatment?

By signing the form, you allow adult leaders overseeing the event to make decisions regarding emergency medical treatment if your child becomes ill or injured. This authorization is vital for ensuring that timely medical assistance can be provided when necessary, especially in emergency situations.

Can my child’s participation be revoked?

Yes, your child’s participation in the event is considered a privilege. If your child behaves inappropriately or poses a risk to themselves or others, event leaders have the authority to revoke their participation. It’s important to discuss appropriate behavior and Church standards with your child before the event.

Common mistakes

Filling out the LDS Permission and Medical Release Form is an important task that requires attention to detail. However, mistakes can often occur. Here are four common errors that people make when completing this form.

One frequent mistake is failing to provide complete event details. It's crucial to specify the event's date, location, and activities involved. If event planners can't find this information, they may be unable to ensure a safe and organized experience for all participants. A vague description can lead to misunderstandings about what the event entails, potentially causing unnecessary complications.

Another common error is incomplete medical information. Participants must disclose any allergies, medications, or chronic illnesses on the form. Not doing so may jeopardize the participant's safety, especially in emergencies. If a participant has an allergy to a specific food or medication, event leaders need this information to provide appropriate accommodations and prevent a health crisis.

Some individuals often overlook the importance of emergency contact details. Providing accurate and readily accessible contact information for a parent or guardian is essential for timely communication in case of an emergency. If the form lacks these details, medical personnel or event leaders may struggle to reach someone who can make critical decisions for the participant.

Finally, one of the most significant mistakes is neglecting to read the permission clause thoroughly. This section outlines the extent of medical care that adult leaders can administer in emergencies. Parents and guardians should understand what they are authorizing when they sign the document. Misinterpretations can create confusion about the level of medical intervention that can be provided during the event.

Being mindful of these common mistakes can help ensure that the LDS Permission and Medical Release Form is completed accurately. This will contribute to a safe and enjoyable experience for all participants.

Documents used along the form

The Lds Permission Form is essential for events organized by the Church of Jesus Christ of Latter-day Saints, especially when special considerations are involved. Alongside this form, there are several other documents that may be required to ensure the safety and preparedness for participants. Below is a brief overview of those documents.

  • Medical Information Form: This form collects detailed medical history and current health information of the participants. It is crucial for event leaders to understand any medical conditions, allergies, or medications that might require attention during the event.
  • Emergency Contact Form: This document gathers crucial contact details for individuals who can be reached in case of an emergency. Having reliable contacts ensures that any issues can be addressed swiftly.
  • Activity Waiver Form: Participants often sign this waiver to acknowledge the risks associated with the activity. It serves as a legal document that protects the organization from liability in case of injury or accidents during the event.
  • Event Checklist: This checklist outlines all necessary preparations and items needed for the event. It helps organizers ensure that nothing is overlooked before, during, or after the activity.

These documents work in conjunction with the Lds Permission Form to facilitate a safe and organized event. It is vital to have all necessary paperwork completed and reviewed in advance to avoid any issues on the day of the event.

Similar forms

  • Medical Consent Form: Similar to the LDS Permission form, this document grants permission for medical treatment and requires details about the participant's health history, medications, and allergies. Both forms prioritize the wellbeing of the participant during events or trips.
  • Release of Liability Waiver: This form serves to protect organizers from legal claims. It explicitly states the risks of the activities involved and requires participants or guardians to acknowledge these risks, much like the acknowledgement of behavior standards in the LDS Permission form.
  • Travel Permission Slip: Often required for school or group trips, this document allows minors to travel under adult supervision. Like the LDS Permission form, it involves parental consent and may contain medical information necessary for care during travel.
  • Field Trip Permission Slip: This document is similar in that it allows students to attend events away from school with specific details provided, including emergency contacts and medical conditions, akin to the information requested in the LDS Permission form.
  • Camp Registration Form: This type of document collects essential information about a participant, including health concerns and emergency contacts. The focus on safety and appropriate conduct mirrors the objectives within the LDS Permission form.
  • Event Registration Form: While primarily for logistical purposes, this form often requires information about participants’ health and emergency contacts, paralleling the comprehensive gathering of participant details found in the LDS Permission form.
  • Consent for Emergency Medical Treatment: This document is crucial in emergencies, providing consent for medical care when a parent cannot be reached. It shares the same essence of granting authority for medical decisions, similar to the permissions outlined in the LDS Permission form.

Dos and Don'ts

When filling out the LDS Permission form, it is crucial to follow some guidelines to ensure the process goes smoothly. Here are five things you should do and five things you should avoid.

  • Do provide complete and accurate information.
  • Do carefully read each section of the form before completing it.
  • Do ensure that emergency contact details are current and accurate.
  • Do disclose any allergies or medical conditions relevant to the event.
  • Do sign the form where required to validate participation.
  • Don't leave any questions blank; if something doesn’t apply, mark it as such.
  • Don't hesitate to ask the event leader for clarification if you're unsure about any section.
  • Don't provide outdated contact information, as this can hinder communication in emergencies.
  • Don't ignore dietary restrictions or medication needs, as this ensures everyone’s safety.
  • Don't forget to keep a copy of the completed form for your records.

Misconceptions

Misconceptions about the Lds Permission form can lead to confusion and misunderstandings. Here are ten common misconceptions along with clarifications:

  1. It is only for children. Many believe the form is intended solely for minors. In fact, it can be used for any youth participating in an event, regardless of age.
  2. Medical information is not important. Some think that providing medical details is optional. However, this information is crucial for ensuring the safety and well-being of participants.
  3. Allergies and dietary restrictions are vague. People may assume these sections can be filled out broadly. They should be specific, as this helps event leaders make necessary accommodations.
  4. The form is only needed for overnight events. Another misconception is that the permission form is only necessary for overnight activities. It should be filled out for any event with special considerations, which can include day events.
  5. Permission means full liability release. Many believe signing the form releases the Church from all liability. While it does grant permission, it encourages responsible conduct and awareness of safety.
  6. It’s not necessary for smaller groups. Some might think it's irrelevant for events with few participants. In reality, even small groups can benefit from this form to enhance safety protocols.
  7. Providing false information is harmless. Some people may feel tempted to omit or alter information. However, providing accurate details is vital for the safety of all involved.
  8. Local leaders can make exceptions. There is a belief that local leaders can bypass the form if they know participants well. This is not true; the form must be completed for all relevant events.
  9. The form is not about behavior expectations. Some think the focus is solely on permissions and medical needs. However, it also outlines conduct expectations, which are essential for maintaining a safe environment.
  10. Emergency contact information is optional. Lastly, people may consider emergency contact details as non-essential. This information is critical and helps ensure swift communication during emergencies.

Key takeaways

Here are some key takeaways for filling out and using the LDS Permission form:

  • Separate forms for each event: Complete this form for each specific event or activity, especially if it involves overnight stays, travel, or activities with higher risks.
  • Provide detailed information: Be specific when describing the event and its activities to ensure clarity and understanding.
  • Emergency contact details: Include reliable emergency contact information, preferably a parent or guardian, so that they can be reached if necessary.
  • Health considerations: Take note of any dietary restrictions, allergies, or medications. This is crucial for the safety and well-being of the participant.
  • Understand the consent: By signing the form, parents give permission for their child to participate and authorize leaders to administer emergency care. Participation is a privilege and certain conduct standards must be followed.

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