Homepage Blank Lds Permission PDF Template
Navigation

In an era where organized activities and events are increasingly becoming subjects of meticulous scrutiny and legal considerations, the Church of Jesus Christ of Latter-day Saints (LDS) Permission and Medical Release Form stands out as a vital document for individuals, particularly minors, participating in events with special considerations. This comprehensive form, to be filled out for each event, encompasses a plethora of details including event specifics, participant information, medical conditions, dietary restrictions, allergies, medication needs, and any other special accommodations that might be necessary. It is meticulously designed to ensure the safety and well-being of participants while under the supervision of event leaders, addressing conditions ranging from chronic illnesses to potential dietary restrictions. Furthermore, it explicitly requires permission from a parent or guardian for minors, embodying a dual purpose: to authorize emergency medical treatment and to ensure adherence to Church standards and event rules. The form highlights the importance of prior planning and preparedness for unforeseen circumstances, fortifying the Church's commitment to maintaining the highest safety standards during activities that entail overnight stays, travel, or higher-than-ordinary risks. This document not only facilitates a clear communication channel between parents, participants, and event coordinators but also serves as a legal safeguard, ensuring that all involved parties are aware of their roles, responsibilities, and the expectations placed upon them.

Preview - 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 Data

Fact Name Detail
Form Title The Church of Jesus Christ of Latter-day Saints Permission and Medical Release Form
Form Purpose For events or activities with special considerations, overnight stays, travel outside the local area, or higher-than-ordinary risks.
Reference Handbook 2: Administering the Church, 13.6.20
Website Reference ChurchofJesusChrist.org
Event Information Required Includes event details such as dates, descriptions, and contact information of the event leader.
Participant Information Required Includes personal information such as date of birth, contact numbers, and address.
Health and Medical Information Details about dietary restrictions, allergies, medication, chronic illnesses, surgeries, or serious illnesses in the past year are required.
Other Considerations Includes information on limits, restrictions, disabilities, accommodations, and special needs for event participation.
Permission and Emergency Treatment Authorization Authorizes event leaders to administer emergency treatment and make medical care decisions.
Behavioral Expectations Participants are expected to follow Church standards and exhibit Christlike behavior. Participation can be revoked for misbehavior or posing a risk to others.

Instructions on Utilizing Lds Permission

Filling out the LDS Permission and Medical Release Form is a necessary step for participants who wish to engage in events or activities organized by The Church of Jesus Christ of Latter-day Saints, especially those that involve special considerations, require an overnight stay, involve travel outside the local area, or carry higher than ordinary risks. This document aids in ensuring that the necessary precautions are taken to accommodate the health, dietary, and safety needs of all participants, thereby fostering a secure and supportive environment. It also serves as a formal permission slip from guardians for minors participating in these activities and authorizes adult leaders to act in emergency situations. Follow these steps to accurately complete the form.

  1. Under "Event Details," the event planner should fill out the specifics of the event, including the dates, description of the event and activities, ward, stake, and the contact information of the event or activity leader.
  2. Provide the participant's details such as their date of birth, age, primary and secondary telephone numbers, and address. Remember to specify the type of phone number provided by checking the appropriate box.
  3. Fill in the emergency contact section with the name of the parent or guardian, including their primary and secondary telephone numbers. Again, mark whether it's a home, cell, or work number where applicable.
  4. Respond to the questions regarding the participant's dietary restrictions, allergies, medication requirements, chronic or recurring illnesses, and any past surgery or serious illness. For "Yes" responses, ensure to provide specific details as prompted.
  5. List all prescription or over-the-counter (OTC) medications the participant is taking. This is crucial for ensuring their health and safety during the event.
  6. Identify any limits, restrictions, or disabilities that may prevent the participant from fully engaging in the event. Attach additional pages if more space is required.
  7. Note any other accommodations or special needs that the event planner should be aware of to support the participant's involvement in the event activities.
  8. Under the "Permission" section, the participant (or parent or guardian, if necessary) should sign and date the form to give formal authorization for participation and to allow event supervisors to administer emergency medical treatment if needed.

Once completed, this form should be handed over to the appropriate event planner or coordinator. It's imperative that the information provided is accurate and comprehensive to ensure there are no barriers to participation for health-related reasons. Furthermore, the permissions and consents outlined within the form are legally binding, ensuring that the rights and responsibilities of all parties are clearly defined and agreed upon.

Obtain Answers on Lds Permission

  1. What is the LDS Permission and Medical Release Form?

    This form is a document designed for events or activities organized by The Church of Jesus Christ of Latter-day Saints that involve special considerations. These could include but are not limited to, events with an overnight stay, travel outside the local area, or activities with a higher level of risk. It requires detailed information about the event, participant, and health-related information to ensure safety and preparedness for any medical emergencies.

  2. Who needs to fill out this form?

    Each participant involved in a church event or activity that meets the outlined special considerations needs to have this form completed. It's essential that a separate form be filled out for every distinct event or activity to cater to its specific conditions and requirements.

  3. What information is required on the LDS Permission and Medical Release Form?

    The form requires comprehensive details including, but not limited to, participant's personal information, event details provided by the planner, emergency contact information, dietary restrictions, allergies, medication details, and any chronic or recurring illnesses. It also asks about recent surgeries or serious illnesses and any limits or restrictions that might affect participation. Lastly, it includes sections for permission and emergency medical treatment authorization, as well as acknowledgments about conduct and the nature of participation in the event.

  4. How is participant conduct addressed in the form?

    The form highlights the expectation for the participant's conduct to align with Church standards and to exemplify Christlike behavior. It clarifies that participation in an activity is a privilege, not a right, and this privilege can be revoked if the participant behaves inappropriately or poses a risk to themselves or others.

  5. What happens if a participant requires medication during the event?

    If a participant is taking any medication, the form requests information on whether they can self-administer the medication. If the participant cannot self-medicate, it's crucial to contact the event or activity leader directly to make necessary arrangements, ensuring the participant's health and safety are managed appropriately during the event.

  6. How does one provide permission for a child or youth to participate in an event?

    Parent or guardian authorization is a significant part of the form, granting permission for the child or youth to partake in the detailed event and activities. It includes authorizing adult leaders to administer emergency treatment in case of accidents or illnesses and to approve necessary medical care on their behalf. This section needs to be signed by the parent or guardian to be valid, along with providing the current date.

Common mistakes

Filling out forms correctly is crucial, especially when it comes to permission and medical release forms for events and activities organized by institutions like The Church of Jesus Christ of Latter-day Saints. People often make mistakes when completing these forms, which can lead to misunderstandings, inadequate preparation for specific needs, or even safety concerns. Here are ten common mistakes to avoid:

  1. Not completing the form for each separate event or activity, despite different requirements or risks associated with each.
  2. Leaving out specific event details, like the exact date(s) and a thorough description of the event and its activities, which can be critical for emergency planning.
  3. Failing to provide complete contact information, including both primary and secondary telephone numbers for immediate access in case of an emergency.
  4. Omitting dietary restrictions or allergies that the participant has, which could lead to health issues during the event.
  5. Not listing all medications, both prescription and over-the-counter (OTC), that the participant is taking, potentially affecting their medical treatment if necessary.
  6. Forgetting to mention if the participant can self-administer their medication, which is crucial information for the event organizers to know.
  7. Skipping details about any chronic or recurring illnesses, surgeries, or serious illnesses experienced in the past year, which could impact the participant's ability to engage safely in the event.
  8. Not identifying limits, restrictions, or disabilities that could prevent full participation, thereby not allowing the event organizers to make necessary accommodations.
  9. Overlooking other accommodations or special needs that the participant might require and not attaching additional pages if more space is needed for explanations.
  10. Improperly signing the form or not having the necessary parental or guardian signature, which could invalidate the entire permission and medical release.

Avoiding these mistakes ensures better preparation and safety for everyone involved in the event. Taking the time to fill out the form accurately and thoroughly is essential.

Documents used along the form

When organizing or participating in events, especially those associated with The Church of Jesus Christ of Latter-day Saints (LDS), the Permission and Medical Release Form is a crucial document. It ensures the participants’ safety and compliance with Church policies. However, to facilitate a well-rounded and secure event experience, there are several other forms and documents that are regularly used alongside the LDS Permission Form. Understanding these additional documents can help streamline the planning process and enhance the safety measures in place.

  • Activity Planning and Approval Form: This document is essential for the initial stages of event planning. It serves as a proposal that must be reviewed and approved by Church leadership before any further steps are taken. This form outlines the event's purpose, expected outcomes, budget considerations, and logistical needs, ensuring that all activities align with church standards and safety guidelines.
  • Health and Medical Record: A comprehensive document that records the participant's medical history, current health conditions, allergies, and medication information. It is more detailed than the medical section of the LDS Permission Form and is used to prepare event leaders and medical personnel for any potential health issues that might arise during the event.
  • Emergency Contact Information Form: While the LDS Permission Form does include a section for emergency contact information, having a separate, more detailed form is beneficial. This form can include multiple contacts, relationships to the participant, and special instructions or considerations that might be crucial in an emergency situation.
  • Code of Conduct Agreement: Participants and their guardians often sign this agreement stating that they understand and agree to abide by the specific behavioral expectations set forth by the event organizers. It typically outlines consequences for misconduct and ensures that all participants are committed to maintaining a respectful and safe environment.

Together with the LDS Permission Form, these documents create a framework that supports the successful organization and execution of Church events. They not only streamline administrative processes but also significantly contribute to the safety and well-being of all participants. By ensuring that these forms are completed and properly managed, organizers can foster a positive, safe, and enriching event experience for everyone involved.

Similar forms

  • Medical Consent Forms: Similar to the LDS Permission Form, medical consent forms authorize healthcare professionals to administer treatment to a minor in the absence of their guardians. These documents are crucial in emergencies, ensuring timely medical attention, and include detailed information about the child's medical history, allergies, and medications, much like the LDS form does.

  • Field Trip Permission Forms: Schools often use field trip permission forms to obtain consent from parents for their children to attend off-campus activities. These forms outline the trip's details, such as destination, activities, and transportation, akin to how the LDS Permission Form details event specifics, ensuring parents are informed and agree to the participation terms.

  • Event Liability Waiver Forms: These forms are used by organizations to limit their liability during events, especially those involving physical activities. Like the LDS Permission Form, they often include a clause where participants or their guardians agree to not hold the organization liable for injuries, paralleling the LDS form’s approach to handling risks and medical emergencies.

  • Sports Registration and Consent Forms: Before participating in sports activities, athletes or their guardians typically must sign a form that covers emergency medical treatment, similar to the LDS document. These forms also collect health information, acknowledge the risks associated with the sport, and detail the conduct expected from participants.

  • Camp Registration Forms: These forms collect essential information for camp attendees, including medical history, emergency contacts, and dietary restrictions, much like the LDS Permission Form. They also require parent or guardian consent for the child’s participation and medical treatment during the camp.

  • Travel Consent Forms: When minors travel without their parents, particularly in groups or on trips led by organizations, consent forms detail their travel arrangements and authorize group leaders to make emergency decisions. This concept mirrors the LDS Permission Form, which includes authorization for event leaders to act on behalf of the parent in emergencies.

  • Participation Agreement Forms: Many organizations require a signed agreement from participants (or their guardians) acknowledging the rules of the event and the behaviors expected. These forms, similar to the LDS Permission Form, often emphasize the importance of abiding by specific standards and the possible revocation of participation privileges for misbehavior.

  • Volunteer Agreement Forms: These forms are necessary when individuals volunteer their time for events or activities, particularly when minors are involved. They outline the volunteer's roles, responsibilities, and code of conduct, akin to the LDS Permission Form’s emphasis on conduct and interaction standards based on the event’s rules.

Dos and Don'ts

When it comes to filling out the LDS (The Church of Jesus Christ of Latter-day Saints) Permission and Medical Release Form, accuracy, completeness, and clarity cannot be overstated. Whether you’re a parent, guardian, or participant, understanding the dos and don’ts ensures that all details are correctly provided, minimizing potential complications or misunderstandings. Below are eight essential tips to guide you through this process:

  • Do read the entire form carefully before beginning to fill it out. This step ensures you understand all the requirements and gather all necessary information beforehand.
  • Do not rush through the form. Take your time to fill out each section accurately to avoid errors that could affect participation eligibility or medical care.
  • Do complete this form separately for each event or activity, as stated in the instructions. Each event may have unique elements or risks that need individual attention.
  • Do not leave any sections blank unless specified. If a question does not apply, consider writing "N/A" (not applicable) to indicate you didn’t overlook the question.
  • Do provide detailed information about any medical conditions, allergies, or medications. This information is crucial for the safety and well-being of the participant, especially in an emergency.
  • Do not forget to list any dietary restrictions or special needs that the event planners and leaders need to be aware of. Accurate information ensures appropriate accommodations can be made.
  • Do ensure that the participant and a parent or guardian (if necessary) sign the form. Their signatures are essential for validating the form's contents and permissions.
  • Do not overlook the date fields next to the signatures. Dates confirm when the consent was given, which could be important, especially if any information changes before the event.

By following these tips, individuals can ensure that they have sufficiently provided for the safety and preparedness of the participant. It’s a collaborative effort between participants, parents, guardians, and church leaders to ensure every activity is enjoyed safely and responsibly.

Misconceptions

When it comes to the LDS (The Church of Jesus Christ of Latter-day Saints) Permission and Medical Release Form, there are quite a few misconceptions that can cause confusion. Understanding these can help ensure that participants and their guardians are fully informed about what agreeing to this form entails.

  • Misconception #1: One form covers all activities. It's important to recognize that a separate form needs to be filled out for each event or activity that requires special consideration, an overnight stay, travels outside of the local area, or involves higher-than-ordinary risks. This means more paperwork, but it also ensures that all details pertaining to a specific event are accurately covered.
  • Misconception #2: Dietary restrictions are not taken seriously. The form explicitly asks if the participant has any dietary restrictions and what they are. This shows that there's a concerted effort to accommodate all participants' health needs, making it essential to provide detailed and accurate information.
  • Misconception #3: Medication needs are overlooked. There is a clear section on the form dedicated to medication, including whether the participant can self-administer. This is an indication that the event organizers are prepared to address medication needs, but it requires honest and thorough disclosure from the participant or guardian.
  • Misconception #4: The form covers all medical decisions. While the form does authorize adult leaders to administer emergency treatment and approve medical care, it specifies this is only for accidents or illnesses during the event. It doesn't give carte blanche authority for all medical decisions.
  • Misconception #5: Conduct rules are vague. The form makes it clear that participants are expected to behave in accordance with Church standards and the specific safety rules of the camp or event. This underscores a commitment to maintaining a safe, respectful environment for all.
  • Misconception #6: Participation is guaranteed. This document clearly states that participation is a privilege, not a right, and can be revoked if the participant behaves inappropriately or poses a risk to themselves or others. It emphasizes the importance of understanding and adhering to the conduct guidelines provided.
  • Misconception #7: The form is only for youth. While much of the language is directed towards parents or guardians of youth participants, adults participating in church-sponsored activities with similar considerations may also need to complete a version of this form. Ensuring participant safety and preparedness is a universal priority, regardless of age.

Understanding these aspects of the LDS Permission and Medical Release Form can greatly improve the experience for everyone involved by setting clear expectations and providing a framework for addressing health and safety concerns effectively.

Key takeaways

Filling out and using the LDS Permission and Medical Release Form involves several important steps and considerations. Understanding these will ensure that all necessary information is provided, and the participant is prepared for the event.

  • Complete for each event: A new form must be filled out for every event or activity that involves special considerations, stays overnight, travels outside the local area, or presents higher than ordinary risks. This ensures that all details are up-to-date and specific to the event's activities and risks.
  • Accurate participant information is crucial: The form requires detailed information about the participant, including contact numbers, dietary restrictions, allergies, medications, and any chronic illness or special needs. This detailed information enables event planners and leaders to ensure the safety and well-being of all participants.
  • Permission and Medical Release: By signing the form, a parent or guardian gives permission for their child to participate in the event and authorizes adult leaders to administer emergency treatment if necessary. This dual-purpose functionality makes it a critical document for ensuring event readiness and responding to potential emergencies.
  • Participation and conduct guidelines: The form clarifies that participation is a privilege conditional on the participant's behavior and adherence to Church standards and event rules. This emphasizes the importance of maintaining a safe and respectful environment that reflects Church values and ensures a positive experience for all attendees.

Proper completion and understanding of the LDS Permission and Medical Release Form are essential for the safety and success of Church-sponsored events. It not only facilitates organized and efficient event planning but also underlines the mutual responsibility of participants, guardians, and leaders to uphold standards that ensure everyone's well-being.

Please rate Blank Lds Permission PDF Template Form
4.46
Incredible
13 Votes