Homepage Blank Lds Permission Form
Outline

The LDS Permission and Medical Release Form serves as a vital tool for ensuring the safety and well-being of participants during church-sponsored events and activities. This form is required for each event that involves special considerations, such as overnight stays, travel outside the local area, or activities that carry higher than ordinary risks. Event planners must provide specific details about the event, including the dates, activities, and contact information for the event leader. Participants, typically children or youth, must fill out personal information, including their date of birth, age, and emergency contact details. The form also addresses dietary restrictions, allergies, and any medications the participant may be taking. Additionally, it prompts parents or guardians to disclose any chronic illnesses or disabilities that could affect participation. Importantly, the form includes a permission section where parents authorize leaders to administer emergency treatment and make medical decisions if necessary. This underscores the understanding that participation in church activities is a privilege contingent upon adherence to Church standards and safety rules.

Sample - Lds Permission Form

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

Form Information

Fact Name Details
Purpose This form is used to obtain permission and medical release for participants in Church events that involve special considerations, overnight stays, or higher risks.
Event Specificity Each form must be completed separately for each event or activity, ensuring clarity and specific details for participants.
Emergency Contact The form requires the primary telephone number of a parent or guardian as an emergency contact for the participant.
Health Information Participants must disclose any allergies, dietary restrictions, medications, and chronic illnesses to ensure their safety during the event.
Authorization for Medical Treatment Parents grant permission for adult leaders to administer emergency treatment and make medical decisions on behalf of the participant.
Behavior Expectations Participants are expected to adhere to Church standards and event safety rules, with a clear understanding that misconduct may lead to revocation of participation privileges.
Governing Law The form may be subject to state-specific laws regarding medical consent and liability, which can vary by jurisdiction.
Signature Requirement Both the participant and a parent or guardian (if necessary) must sign the form to validate the permissions and agreements outlined.

Detailed Guide for Filling Out Lds Permission

Filling out the LDS Permission Form is an essential step for participation in events that involve specific considerations. This form ensures that all necessary information is collected to keep participants safe and informed. Below are the steps to complete the form accurately.

  1. Begin by filling out the event details section. Include the event date, a description of the event and activities, and the names of the ward and stake.
  2. Provide the name and contact information for the event or activity leader, including their phone number and email address.
  3. Enter the participant’s personal information, including their date of birth, age, and primary and secondary telephone numbers.
  4. Fill in the participant’s address, including city and state or province.
  5. List the emergency contact details for a parent or guardian, including their primary and secondary phone numbers.
  6. Indicate if the participant requires a special diet and provide details if applicable.
  7. Note any allergies the participant has, if any, and provide a list.
  8. Specify if the participant is taking any medications and whether they can self-administer them.
  9. Answer questions about any chronic or recurring illnesses, recent surgeries, or serious illnesses.
  10. Identify any limits, restrictions, or disabilities that may affect the participant's ability to engage fully in the event.
  11. List any other accommodations or special needs the participant may have.
  12. Provide the necessary permissions by signing the form, along with a parent or guardian's signature if required.
  13. Finally, include the date of completion at the bottom of the form.

Obtain Answers on Lds Permission

  1. What is the purpose of the LDS Permission Form?

    The LDS Permission Form is designed to ensure that parents or guardians give consent for their children to participate in specific events or activities organized by the Church of Jesus Christ of Latter-day Saints. This form collects essential information about the participant, including medical details and emergency contacts, to promote safety and preparedness during the event.

  2. When is it necessary to complete this form?

    This form must be completed for events that involve special considerations. Examples include overnight stays, travel outside the local area, or activities that carry higher than ordinary risks. Each event or activity requires a separate form to address the specific circumstances involved.

  3. What information is required on the form?

    The form requires various details, including:

    • Event date and description
    • Participant's personal information (name, date of birth, contact numbers)
    • Emergency contact information
    • Medical considerations (dietary restrictions, allergies, medications)
    • Any chronic illnesses or disabilities

    Providing accurate and complete information is crucial for the safety of the participant.

  4. What should I do if my child has special medical needs?

    If your child has special medical needs, it is essential to indicate these on the form. There are sections dedicated to dietary restrictions, allergies, and medications. If necessary, attach additional pages to provide comprehensive details. This information helps event planners make appropriate accommodations.

  5. What permissions do parents grant by signing the form?

    By signing the form, parents grant permission for their child to participate in the specified event and authorize adult leaders to administer emergency treatment if needed. This authorization extends to any necessary medical care during the event and travel to and from the event.

  6. What are the expectations for participant behavior?

    Participants are expected to conduct themselves in accordance with Church standards and to exemplify Christlike behavior. They must abide by camp or event safety rules and follow all pertinent instructions. Participation is viewed as a privilege, and inappropriate behavior may result in revocation of that privilege.

  7. Is the form required for every event?

    No, the form is not required for every event. It is specifically necessary for events that involve special considerations, such as those mentioned earlier. For regular church activities that do not involve overnight stays or higher risks, a permission form may not be needed.

Common mistakes

Filling out the LDS Permission and Medical Release Form can be straightforward, but many people make common mistakes that can lead to delays or complications. One frequent error is not completing the form for each event or activity. It’s essential to fill out a separate form for events with special considerations, such as overnight stays or activities that involve higher risks. Skipping this step can result in your child not being allowed to participate.

Another mistake occurs when participants or guardians fail to provide complete and accurate contact information. This includes not only the primary and secondary phone numbers but also the email address of the event leader. In case of emergencies, having correct and accessible contact details is crucial. Incomplete information can hinder communication when it’s most needed.

Some individuals overlook the dietary restrictions and allergies section. If a participant has specific dietary needs or allergies, it’s vital to indicate these clearly. Failing to do so can lead to serious health risks during the event. Even if someone believes their dietary needs are obvious, it’s always best to provide explicit details to avoid misunderstandings.

Many people also forget to check the medication section thoroughly. It’s important to disclose any medications the participant is taking and whether they can self-administer them. Not addressing this can lead to complications if a participant needs their medication during the event. Additionally, if a participant has a chronic illness or has had surgery in the past year, this information should be included to ensure proper care and attention.

Lastly, some parents and guardians neglect to sign the form or forget to date it. Without a signature, the form is not valid, and the participant may be unable to join the event. Always double-check that all required signatures are in place before submitting the form. Taking the time to review these details can make a significant difference in ensuring a smooth and enjoyable experience for everyone involved.

Documents used along the form

When planning events or activities for members of the Church of Jesus Christ of Latter-day Saints, several forms and documents complement the LDS Permission form. Each document serves a unique purpose, ensuring safety, communication, and proper organization. Below is a list of commonly used forms that help facilitate smooth event planning and participation.

  • Medical History Form: This document collects comprehensive medical information about participants, including pre-existing conditions and emergency contacts. It helps event leaders prepare for any medical needs that may arise during the event.
  • Waiver of Liability: Participants or their guardians sign this document to acknowledge the inherent risks associated with the activity. By signing, they agree not to hold the church or event organizers responsible for any injuries or accidents that may occur.
  • Behavior Agreement: This form outlines expected conduct and behavior standards for participants. It helps set clear expectations and fosters a positive environment during the event.
  • Emergency Contact Form: This document ensures that event leaders have up-to-date contact information for participants' guardians in case of emergencies. It is crucial for quick communication if any issues arise.
  • Transportation Consent Form: If transportation is provided for an event, this form secures permission from parents or guardians for their child to travel with designated adults. It clarifies who is responsible for the participant during transit.
  • Photo Release Form: This document allows event organizers to take and use photographs of participants for promotional or educational purposes. It ensures that parents or guardians consent to their child's image being used.
  • Activity Schedule: This form outlines the timeline and activities planned for the event. It helps participants and their families understand what to expect and when, enhancing their overall experience.
  • Dietary Needs Form: This document gathers information about participants' dietary restrictions or allergies, ensuring that meal planning accommodates everyone’s needs. It is essential for health and safety during events involving food.
  • Volunteer Sign-Up Sheet: This form allows church members to volunteer for various roles during the event. It helps organizers identify who is available to assist and ensures that all necessary tasks are covered.
  • Feedback Form: After the event, this document collects participants' and parents' feedback. It provides valuable insights for future planning and helps improve the quality of events.

Utilizing these forms alongside the LDS Permission form enhances the overall safety and organization of church events. Each document plays a crucial role in ensuring that participants have a positive experience while adhering to necessary guidelines and protocols.

Similar forms

The LDS Permission and Medical Release Form shares similarities with several other documents that serve to protect participants and ensure proper communication during events. Below is a list of documents that are comparable in purpose and structure:

  • Parental Consent Form: This document grants permission for a child to participate in specific activities. Like the LDS form, it collects information about the child, emergency contacts, and any medical considerations.
  • Medical Release Form: This form allows medical professionals to treat a participant in case of an emergency. Similar to the LDS form, it includes sections for medical history and emergency contacts.
  • Field Trip Permission Slip: Often used by schools, this slip provides consent for students to attend off-campus activities. It also gathers information about the event, participant details, and emergency contacts, mirroring the structure of the LDS form.
  • Waiver of Liability: This document protects organizations from legal claims arising from participant injuries. It requires signatures to acknowledge risks, similar to the LDS form's acknowledgment of responsibilities and standards.
  • Activity Registration Form: Used for various events, this form collects participant information and outlines the event details. It often includes medical information, much like the LDS form.
  • Emergency Contact Form: This document is designed to provide emergency contact information for participants. It aligns with the LDS form by emphasizing the importance of having emergency contacts readily available.
  • Health History Form: Commonly used in camps and sports, this form gathers comprehensive health information about participants. It parallels the LDS form in its focus on medical history and special needs.

Dos and Don'ts

When filling out the Lds Permission form, it’s important to ensure that all information is accurate and complete. Here are some dos and don’ts to keep in mind:

  • Do fill out a separate form for each event or activity that requires special considerations.
  • Do provide detailed information about the event, including dates and activities.
  • Do include emergency contact information that is current and accessible.
  • Do clearly state any dietary restrictions or allergies the participant may have.
  • Do indicate if the participant is taking any medications and whether they can self-administer.
  • Don't leave any sections blank; incomplete forms can delay participation.
  • Don't forget to sign the form, as both participant and guardian signatures may be required.
  • Don't provide false information, as this could jeopardize the participant's safety.
  • Don't overlook additional needs or accommodations that may be necessary for full participation.

By following these guidelines, you can help ensure a smooth process for everyone involved.

Misconceptions

Understanding the LDS Permission and Medical Release Form is crucial for parents and guardians, yet several misconceptions exist that can lead to confusion. Below are five common misconceptions clarified to provide a clearer perspective.

  • Misconception 1: The form is only necessary for overnight events.
  • Many believe that the permission form is required solely for overnight stays. In reality, it is needed for any event that involves special considerations, such as travel outside the local area or activities with higher than ordinary risks.

  • Misconception 2: The form covers all medical issues automatically.
  • Some may think that signing the form automatically grants permission for all medical treatments. However, it is essential to provide specific details about any medical conditions, allergies, or medications to ensure that appropriate care can be administered in emergencies.

  • Misconception 3: Parents do not need to be involved if the participant is over 18.
  • While participants who are 18 or older can sign the form themselves, it is still advisable for parents or guardians to review the document. Their involvement ensures that all necessary medical information is accurately conveyed and understood.

  • Misconception 4: The form guarantees a safe environment during the event.
  • Signing the permission form does not guarantee safety. It simply acknowledges that the participant and their guardians understand the risks involved and agree to follow the Church’s standards and safety rules during the event.

  • Misconception 5: The form is a one-time requirement.
  • Some individuals believe that completing the form once suffices for all future events. In truth, a separate form must be completed for each event or activity, especially if there are different risks or special considerations involved.

Key takeaways

When completing the LDS Permission and Medical Release Form, several important considerations must be taken into account. Below are key takeaways to ensure proper usage and compliance.

  • Separate Forms for Each Event: Fill out a distinct form for every event that involves special considerations, such as overnight stays or activities with higher risks.
  • Event Details: Provide comprehensive information about the event, including dates, activities, and contact details for the event leader.
  • Participant Information: Accurately fill in the participant's personal details, including date of birth and contact numbers.
  • Dietary and Medical Needs: Clearly indicate any dietary restrictions, allergies, or medications the participant may require.
  • Emergency Contact: Include a reliable emergency contact, typically a parent or guardian, with their phone numbers.
  • Permission for Treatment: The form grants permission for adult leaders to administer emergency treatment and make medical decisions in case of an emergency.
  • Conduct Expectations: Participants must adhere to Church standards and event safety rules. Inappropriate behavior can lead to revocation of participation privileges.
  • Signatures Required: Ensure that both the participant and, if necessary, a parent or guardian sign the form, along with the date of signature.

By following these guidelines, participants and guardians can help ensure a safe and organized experience during Church events.