The 381 Youth Collective Student Registration Form

THE 381 YOUTH COLLECTIVE – FULL PARTICIPANT REGISTRATION FORM

Your name *

Email address *

Student Full Name *

Birthdate *

Grade *

Gender *

School *

Church Affiliation (if applicable) *

Medical note (Please list allergies, medications, or any information we should know) *

Emergency Contact (if different) *

Parent/Guardian Name *

Relation to Student *

Phone number

Consent and Waiver *

Consent & Waiver
By electronically typing my name below, I give permission for my child to participate in activities with the 381 Youth Collective. I understand that reasonable precautions will be taken for safety, but in the event of an accident or injury, I will not hold 381 Youth Collective, participating churches, or leaders liable. I give permission for the staff or volunteers to seek emergency medical care for my child if necessary.

Travel & Transportation Waiver *

I give permission for my child to attend off-site activities organized by the 381 Youth Collective, including transportation provided by church vans, rented buses, or adult volunteers approved by the Collective or Partner Churches. I understand that reasonable safety measures will be taken and that all drivers will be adults with valid licenses and insurance. I release the 381 Youth Collective, participating churches, and leaders from liability in the case of injury or incident related to transportation or off-site events. I understand I will be notified in advance of such events.

I give permission for my child to participate in off-site events and be transported by approved leaders.

I do NOT give permission at this time (child may need to be dropped off/picked up independently).

Pick Up Autorization *

Please indicate how your student will typically arrive and leave 381 Youth Collective events. Select all that apply:

Parent/Guardian will drop off and pick up

Student has permission to drive themselves (High school only)

Student may ride with another approved adult/student driver

Authorized Pick Up People *

If your student may be picked up by someone other than a parent/guardian, please list names and relationships of any authorized pick-up persons below (e.g., siblings, friends’ parents, youth leaders):

Photo/Video Release *

I give permission for my child’s image or video to be used in promotional materials, social media, or documentation related to the 381 Youth Collective.

Yes

Acknowledgment of Behavioral Standards *

We have reviewed and agree to the behavioral expectations outlined by the 381 Youth Collective. Students are expected to:

Refrain from profanity or obscene language
Not possess or use weapons, tobacco, vapes, alcohol, or drugs
Avoid bullying, harassment, or intimidation (physical, verbal, emotional, or online)
Avoid fighting or physical altercations
Avoid public displays of affection or any sexual behavior
Show respect to adult leaders and peers
Participate respectfully in group activities
Not vandalize, steal, or damage property

Yes

Signature of Parent/Guardian *

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