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When planning events within the Church of Jesus Christ of Latter-day Saints, ensuring the safety and well-being of all participants is paramount. The LDS Permission and Medical Release Form serves as a crucial tool for event organizers, providing a structured way to gather essential information about participants. This form must be completed for each event that involves special considerations, such as overnight stays, travel outside the local area, or activities that carry higher-than-average risks. Key sections of the form include details about the event, participant information, and any medical or dietary needs that may affect participation. Parents or guardians must grant permission for minors to attend, while also authorizing adult leaders to administer emergency medical treatment if necessary. By outlining expectations for behavior and adherence to Church standards, this form not only facilitates a smooth event but also fosters a safe and respectful environment for all involved.

Lds Permission Example

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

File Breakdown

Fact Name Details
Purpose This form is used to obtain permission and medical release for participants in events organized by the Church of Jesus Christ of Latter-day Saints.
Event Specificity Each form must be completed separately for each event or activity, especially those involving special considerations.
Emergency Contact The form requires an emergency contact, usually a parent or guardian, to ensure safety during the event.
Dietary Restrictions Participants can indicate any special dietary needs, which helps organizers accommodate them appropriately.
Allergies Participants must disclose any allergies, ensuring that leaders are aware of potential health risks.
Medication Disclosure The form asks if participants are taking any medications, allowing for proper management during the event.
Chronic Illness Participants are prompted to disclose chronic illnesses, which helps in planning for any necessary accommodations.
Conduct Expectations The form emphasizes that participation is a privilege, and adherence to Church standards is required.
Signature Requirement Both the participant and, if necessary, the parent or guardian must sign the form to validate permission.
Governing Law The form is subject to state laws regarding medical consent and liability, which can vary by location.

Guide to Using Lds Permission

Filling out the LDS Permission Form is straightforward. This form is necessary for events that may involve special considerations, such as overnight stays or activities with higher risks. Once you have completed the form, it will be submitted to the event planner for review and processing.

  1. Start by entering the event details. This includes the event date, a description of the event and activities, the ward, and the stake.
  2. Provide information about the event or activity leader. Include their name, phone number, and email address.
  3. Fill in the participant's personal information. This includes their name, date of birth, age, and primary and secondary telephone numbers.
  4. List the participant's address, including city and state or province.
  5. Identify the emergency contact, usually a parent or guardian. Provide their primary and secondary telephone numbers.
  6. Indicate if the participant requires a special diet. If yes, explain the dietary restrictions.
  7. Note any allergies the participant may have. If yes, list the allergies.
  8. State if the participant is taking any medication or over-the-counter drugs. Indicate if they can self-administer their medication.
  9. Answer whether the participant has a chronic or recurring illness. If yes, provide details.
  10. Indicate if the participant has had surgery or a serious illness in the past year. If yes, explain.
  11. Identify any other limits, restrictions, or disabilities that may affect participation. Attach additional pages if necessary.
  12. List any other accommodations or special needs the participant may have that the event planner should know about. Attach additional pages if needed.
  13. Sign the permission section, giving consent for your child or youth to participate. If necessary, have the parent or guardian sign as well.
  14. Finally, enter the date of completion.

Get Answers on Lds Permission

What is the LDS Permission Form?

The LDS Permission Form is a document that allows parents or guardians to grant permission for their children or youth to participate in church-related events and activities. It includes important medical and emergency information to ensure the safety and well-being of participants.

When do I need to complete the form?

This form should be completed for each event or activity that involves special considerations. This includes:

  • Overnight stays
  • Travel outside the local area
  • Activities that involve higher than ordinary risks

Make sure to fill it out separately for each event to ensure that all details are accurate and current.

What information is required on the form?

The form requires various details, including:

  1. Event details such as date, description, and contact information for the event leader.
  2. Participant information, including name, date of birth, age, and contact numbers.
  3. Emergency contact information for a parent or guardian.
  4. Medical information, including dietary restrictions, allergies, medications, and any chronic illnesses.
  5. Permissions for medical treatment and conduct agreements.

Providing accurate information is crucial for the safety of all participants.

Can I fill out the form for multiple children?

No, the form must be completed separately for each child or youth participating in the event. This ensures that each participant's specific needs and circumstances are addressed appropriately.

What if my child has special dietary needs or allergies?

If your child has special dietary needs or allergies, it's essential to indicate this on the form. You should provide detailed information about any restrictions or allergies to ensure that appropriate accommodations can be made during the event.

What happens if my child needs medical attention during the event?

By signing the form, you authorize the adult leaders supervising the event to administer emergency treatment if necessary. This includes acting on your behalf to approve any required medical care. It's important to ensure that the event leaders have the necessary information to handle emergencies effectively.

What are the expectations for participant conduct?

Participants are expected to abide by Church standards and follow camp or event safety rules. Their conduct should exemplify Christlike behavior. It's important to understand that participation is a privilege, and inappropriate behavior can lead to revocation of that privilege.

How do I submit the form?

Once you have completed the form, you should submit it to the event or activity leader. They will ensure that all necessary information is collected and that your child is properly registered for the event.

Is there a deadline for submitting the form?

While specific deadlines may vary by event, it is advisable to submit the form as early as possible. This allows event planners to make necessary arrangements based on the information provided. Always check with the event leader for any specific deadlines.

Common mistakes

Filling out the LDS Permission Form correctly is crucial for ensuring a smooth experience during events. One common mistake is not providing complete contact information. Participants often leave out essential details like the secondary telephone number or email address for the event leader. This omission can lead to difficulties in communication, especially in emergencies.

Another frequent error is neglecting to disclose medical conditions or dietary restrictions. Participants may assume that minor allergies or dietary needs are not significant enough to mention. However, failing to provide this information can result in inadequate care during the event, potentially putting the participant's health at risk.

Some individuals also forget to sign the form or provide the necessary signatures from parents or guardians. This oversight can delay participation and may even prevent a child from attending the event altogether. It is important to double-check that all required signatures are present before submitting the form.

Lastly, not reviewing the entire form for accuracy can lead to misunderstandings. Participants may misinterpret questions or provide incorrect information about medications or health conditions. Taking the time to carefully read and verify all entries can help avoid complications and ensure that the participant's needs are met effectively.

Documents used along the form

When planning events or activities within the Church of Jesus Christ of Latter-day Saints, various forms and documents are essential to ensure safety and compliance. Among these, the LDS Permission and Medical Release Form stands out as a critical tool. However, several other forms often accompany it, each serving a unique purpose to facilitate a smooth and secure experience for participants.

  • Medical Information Form: This document collects detailed health information about participants. It may include medical history, current medications, allergies, and emergency contacts. This information is vital for event leaders to address any health issues that may arise during the activity.
  • Behavior Agreement Form: This form outlines the expected behavior and conduct standards for participants. It serves to clarify the rules and consequences associated with participation. By signing this agreement, participants acknowledge their understanding and commitment to maintaining a respectful environment.
  • Liability Waiver: A liability waiver is designed to protect the church from legal claims arising from accidents or injuries that may occur during the event. Participants or their guardians must sign this document, indicating their awareness of potential risks and their agreement to waive certain legal rights.
  • Emergency Contact Form: This form is crucial for gathering contact information for parents or guardians. In case of an emergency, event leaders can quickly reach out to the appropriate individuals. It ensures that responsible parties are informed and can make decisions regarding the participant's care if needed.
  • Travel Permission Form: If the event involves travel, this form grants permission for participants to travel to and from the activity. It may also include details about transportation arrangements and any special considerations for travel, ensuring that all logistics are clear and agreed upon by parents or guardians.

In summary, these forms work in tandem with the LDS Permission and Medical Release Form to create a comprehensive framework for safe and enjoyable participation in church activities. By utilizing these documents, event leaders can better manage health, safety, and behavior expectations, ultimately fostering a positive environment for all involved.

Similar forms

The LDS Permission and Medical Release Form shares similarities with several other documents commonly used for events involving minors or individuals requiring special considerations. Here are nine documents that are similar, along with explanations of how they relate to the LDS form:

  • Parental Consent Form: This document grants permission for a child to participate in an activity. Like the LDS form, it often includes emergency contact information and details about medical conditions or allergies.
  • Medical Release Form: This form allows medical professionals to treat a participant in case of an emergency. It mirrors the LDS form in its request for medical history and emergency contact details.
  • Field Trip Permission Slip: Schools use this document to obtain consent for students to go on field trips. Similar to the LDS form, it requires parental approval and often includes information about any special needs or medical conditions.
  • Activity Waiver: This document releases an organization from liability in case of injury during an event. It parallels the LDS form by emphasizing participant safety and requiring signatures from guardians.
  • Emergency Contact Form: This form collects information about whom to contact in case of an emergency. Like the LDS form, it prioritizes participant safety and includes contact details for parents or guardians.
  • Health History Form: Often used by camps and sports organizations, this document details a participant’s medical background. It is similar to the LDS form in that it requests information about allergies, medications, and chronic illnesses.
  • Consent for Treatment Form: This document allows medical professionals to provide care in emergencies. It shares features with the LDS form, specifically regarding the authorization for medical treatment.
  • Release of Liability Agreement: Participants sign this document to acknowledge risks associated with an activity. It aligns with the LDS form by addressing participant conduct and safety standards.
  • Behavior Agreement: This document outlines expected conduct during an event. Similar to the LDS form, it emphasizes adherence to specific standards and consequences for inappropriate behavior.

Dos and Don'ts

When filling out the LDS Permission form, keep the following tips in mind to ensure a smooth process:

  • Do complete a separate form for each event or activity that requires special considerations.
  • Do provide accurate contact information for the event leader, including their phone number and email.
  • Do clearly list any dietary restrictions or allergies the participant may have.
  • Don't skip any sections that apply to the participant; incomplete forms can delay processing.
  • Don't forget to have the necessary signatures from both the participant and the parent or guardian, if required.

Misconceptions

When it comes to the LDS Permission Form, several misconceptions can lead to confusion. Understanding the facts can help ensure that participants and their guardians are well-informed. Here are seven common misconceptions:

  • It is only required for overnight events. Many believe the form is only necessary for overnight activities. In reality, it should be completed for any event with special considerations, travel outside the local area, or activities that involve higher risks.
  • Only minors need to fill it out. While the form is primarily for minors, adults participating in certain events may also need to complete it, especially if they have specific medical or dietary needs.
  • The form is only for medical emergencies. Some think the form is solely for medical emergencies. However, it also covers permissions for participation and adherence to Church standards, making it a comprehensive document.
  • It can be signed by anyone. There is a misconception that any adult can sign the form. In fact, it should be signed by a parent or legal guardian when the participant is a minor.
  • Once signed, it covers all future events. Many assume that signing the form applies to all future events. Each event requires a separate form to address specific details and considerations.
  • It does not need to be detailed. Some believe that providing minimal information is sufficient. However, being specific about dietary restrictions, allergies, and other health concerns is crucial for participant safety.
  • It is optional for participants. There is a belief that completing the form is optional. In truth, it is a requirement for participation in events that necessitate it, ensuring safety and compliance with Church policies.

By clarifying these misconceptions, participants and their guardians can approach the LDS Permission Form with confidence and understanding, ensuring a smooth experience during events.

Key takeaways

When filling out and using the LDS Permission and Medical Release Form, consider the following key takeaways:

  • Each event or activity requires a separate form. This ensures that all specific details are captured accurately.
  • Provide detailed information about the event, including the date, location, and activities planned. Clarity is essential.
  • Include accurate contact information for the event leader. This facilitates communication in case of emergencies.
  • Make sure to list any dietary restrictions or allergies. This helps ensure the participant's safety during the event.
  • Note any medications the participant is taking. Indicate whether they can self-administer their medication.
  • Disclose any chronic illnesses or recent surgeries. This information is crucial for the safety and well-being of the participant.
  • Identify any limitations or disabilities. This allows event planners to make necessary accommodations.
  • Understand that permission grants adult leaders authority to administer emergency treatment. This is vital for quick response in case of an incident.
  • Participants must adhere to Church standards and safety rules. This promotes a respectful and safe environment for all.
  • Remind parents and participants that participation is a privilege, not a right. Inappropriate behavior can lead to revocation of this privilege.