VBS Consent Form — popstudentministries

Reducing the Risk of Child Abuse Program: Parent Consent Form

I have viewed a copy of “Child and Youth Safety Policy” at Prince of Peace Lutheran Church and am aware that Prince of Peace strives to provide dual supervision for children and youth participating in its classes and other programming.

I am also aware that circumstances may prevent dual supervision from time to time (e.g. unexpected illness of VBS volunteer) and that single supervision on such occasions may be permitted with written consent of a parent or guardian of a child or children involved in the activity.

Therefore, I hereby consent to single supervision of my child(ren). List each child’s name:

Child 1

First Name

Last Name

Child 2

First Name

Last Name

Child 3

First Name

Last Name

Child 4

First Name

Last Name

This permission is granted for the following activity for the date or period identified. (please check)

Vacation Bible School (June 26th-30th, 2023)

Signature of Parent/Guardian

Date

YYYY