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This document serves as a parental consent and liability waiver for youth participating in activities under the Diocese of Fort Worth, including medical information and emergency contact details.
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How to fill out FORM A Annual Youth Ministry Parental Liability Waiver, Permission and Medical Information

01
Read the entire form carefully to understand its contents.
02
Fill in the participant's full name in the designated area.
03
Provide the participant's date of birth.
04
Fill out the parent's or guardian's full name and contact information.
05
Complete the emergency contact information, including name and phone number.
06
Indicate any medical conditions or allergies the participant may have.
07
Provide insurance information if applicable.
08
Read and acknowledge the waiver and permission statements.
09
Sign and date the form to confirm accuracy and consent.
10
Submit the completed form to the designated youth ministry leader.

Who needs FORM A Annual Youth Ministry Parental Liability Waiver, Permission and Medical Information?

01
Any youth participating in activities organized by the youth ministry.
02
Parents or guardians of minors attending youth ministry events.
03
Volunteers or staff overseeing youth activities may also need to keep this form on file.
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FORM A is a document that parents or guardians complete to provide consent for their child to participate in youth ministry activities. It includes waivers for liability, permission for medical treatment, and vital medical information.
Parents or guardians of minors who wish to participate in youth ministry activities are required to file FORM A.
To fill out FORM A, parents must provide their child's personal information, emergency contacts, medical history, and sign the liability waivers and permission statements.
The purpose of FORM A is to ensure that youth ministry organizations have parental consent for participation, safeguard against legal liabilities, and have necessary medical information in case of emergencies.
FORM A must report the child's name, date of birth, contact information for parents or guardians, emergency contact details, medical conditions, allergies, and any required medical permissions.
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