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It records relevant medical limitations such as chronic or recurring illness and serious conditions or surgery from the past year. The document also includes clear conduct expectations for church events, covering what to do, what not to do, privacy, safety, and consequences for noncompliance, including notifying parents and reporting harmful incidents.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/parental-or-guardian-permission-medical-release-form-event-and-activity-guidelines/194578/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/parental-or-guardian-permission-medical-release-form-event-and-activity-guidelines/194578.png","ImageObject",442,249,{"name":88,"@type":89},"Sophia Brooks","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-07","2026-09-03",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",13,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information does the medical release form collect about the participant?","Question",{"text":109,"@type":110},"It collects the participant’s name details, date of birth and age, emergency contacts, dietary requirements, allergies, and whether they can self-administer medication. It also asks about chronic or recurring illnesses and serious illnesses or surgery in the past year.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How is emergency contact information used?",{"text":114,"@type":110},"If needed, the primary and secondary telephone numbers for the participant’s parent or guardian can be contacted. If the participant does not follow the guidelines, parents may be notified.",{"name":116,"@type":107,"acceptedAnswer":117},"What conduct rules apply during church events and activities?",{"text":118,"@type":110},"The document emphasizes fun and faith-building behavior, respecting privacy, staying safe, being friendly, and staying engaged. It also prohibits immorality, harm or bullying, weapons or harmful substances, stealing or vandalism, and disruptions such as skipping activities or leaving without notifying leaders for minors.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},194578,1791332959,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},962084925636,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","| Event | Date(s) of event |\n| --- | --- |\n\n\n| Ward |  | Stake |  |\n| --- | --- | --- | --- |\n| Event or activity leader | Event or activity leader’s phone number |  | Event or activity leader’s email |\n\n\n| Participant | Date of birth | Age |\n| --- | --- | --- |\n\n\n| Emergency contact (parent or guardian) | Primary telephone number | Secondary telephone number |\n| --- | --- | --- |\n\n\n| Does the participant require a special diet?\u003Cbr>□ Yes □ No | If yes, please explain the dietary restrictions. |\n| --- | --- |\n| Does the participant have any allergies?\u003Cbr>□ Yes □ No | If yes, please list the allergies. |\n\n\n| Can the participant self-administer his or her medication?\u003Cbr>□ Yes □ No If no, please contact the event or activity leader directly. |  |\n| --- | --- |\n| Conditions That Limit Activity |  |\n| Does the participant have a chronic or recurring illness?\u003Cbr>□ Yes □ No | If yes, please explain. |\n| Has the participant had surgery or a serious illness in the past year?\u003Cbr>□ Yes □ No | If yes, please explain. |\n\n\n| Participant’s signature | Date |\n| --- | --- |\n| Parent or guardian’s signature (if participant is a minor) | Date |\n\n\n| Conduct at Church Activities\u003Cbr>The Savior Jesus Christ invites us to live as He did (see 3 Nephi 27:21), including at events and activities. The goal for every activity is to have fun, build faith, love and serve each other, and grow spiritually. Everyone benefits when we follow these guidelines. |  |\n| --- | --- |\n| What to Do\u003Cbr>These things can make the activity fun and uplifting:\u003Cbr>• Remembering Who You Are: Trust in the Lord and follow gospel principles.\u003Cbr>• Respecting Privacy: Be smart about using media and social media. Ask permission before taking or posting pictures or videos of others.\u003Cbr>• Being Safe: Create an environment where others feel safe, welcomed, and able to feel God’s love.\u003Cbr>• Keeping It Friendly and Fun: Be a friend; reach out and be kind to everyone. Remember, these events are about making friends, not about romantic behavior or drama.\u003Cbr>• Being Engaged: Participate in and contribute as an influence for good by being a light to others. | What Not to Do\u003Cbr>These things distract from and are not allowed during the event or activity:\u003Cbr>• No Immorality: No talking about, encouraging, or engaging in any sexual activity. No immoral behavior, including making sexual advances. No sharing or viewing pornography.\u003Cbr>• No Harm: No bullying, threatening, or harming yourself or others in any way—physically, spiritually, or emotionally.\u003Cbr>• No Weapons or Harmful Substances:\u003Cbr>Do not bring dangerous or illegal items. Stay clean. Follow the Word of Wisdom.\u003Cbr>• No Stealing or Vandalism: Respect other people’s property.\u003Cbr>• No Disruptions: Cooperate. For minors, do not skip activities, miss curfew, or leave without notifying leaders. |\n| These guidelines keep everyone safe. If you do not follow them, you may have to go home, and for minors, your parents will be notified. Leaders will also report crimes and other harmful or destructive incidents (including pranks) to local authorities as required by law.\u003Cbr>Remember the Savior’s example, keep it fun, and build faith! |  |","cbCaitYrWG9zLGAi","https://ap.wps.com/l/cbCaitYrWG9zLGAi","pdf",945156,"English","# Participant Information\n## Emergency Contact (Parent or Guardian)\n## Medical Needs and Restrictions\n# Conduct at Church Activities\n## What to Do\n## What Not to Do","[{\"question\":\"What information does the medical release form collect about the participant?\",\"answer\":\"It collects the participant’s name details, date of birth and age, emergency contacts, dietary requirements, allergies, and whether they can self-administer medication. It also asks about chronic or recurring illnesses and serious illnesses or surgery in the past year.\"},{\"question\":\"How is emergency contact information used?\",\"answer\":\"If needed, the primary and secondary telephone numbers for the participant’s parent or guardian can be contacted. If the participant does not follow the guidelines, parents may be notified.\"},{\"question\":\"What conduct rules apply during church events and activities?\",\"answer\":\"The document emphasizes fun and faith-building behavior, respecting privacy, staying safe, being friendly, and staying engaged. It also prohibits immorality, harm or bullying, weapons or harmful substances, stealing or vandalism, and disruptions such as skipping activities or leaving without notifying leaders for minors.\"}]","Parental or Guardian Permission Medical Release Form - Event and Activity Guidelines | PDF",1788440390]