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Blank Lds Permission PDF Form

The LDS Permission Form is a document required by The Church of Jesus Christ of Latter-day Saints for participants in events that may involve special considerations, such as overnight stays or activities with higher risks. This form ensures that parents or guardians provide necessary medical and safety information, as well as grant permission for their child or youth to participate. To facilitate a smooth process, please fill out the form by clicking the button below.

Article Guide

When planning events for youth and children within the Church of Jesus Christ of Latter-day Saints, the LDS Permission and Medical Release Form plays a crucial role. This form is designed to ensure the safety and well-being of participants during various activities, especially those that involve special considerations like overnight stays, travel, or events with higher risks. It requires detailed information about the event, including the date, description, and contact details of the event leader. Additionally, it gathers essential information about the participant, such as their age, emergency contact details, dietary restrictions, allergies, and any medications they may be taking. Parents or guardians must provide consent for their child to participate, authorizing adult leaders to administer emergency treatment if necessary. This form not only helps in managing the logistics of the event but also emphasizes the importance of appropriate conduct and adherence to Church standards, ensuring that all participants can engage in a safe and respectful environment.

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THE CHURCH OF	Permission and Medical Release Form	I
OF LATTER-DAY SAINTS	Permission and Medical Release Form	I
JESUS CHRIST

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

➤ PDF File

Form Specifications

Fact Name	Details
Purpose	This form is used to grant permission for participation in events or activities that may involve special considerations, such as overnight stays or higher risks.
Event Requirements	Each event planner must complete a separate form for every event. This includes details like the event date, activities, and contact information for the event leader.
Medical Information	Participants must disclose any allergies, medications, or special dietary needs. This ensures that the event leaders can provide appropriate care and accommodations.
Governing Laws	In the United States, parental consent laws vary by state. It is important to check local regulations regarding medical treatment and permission for minors.

Lds Permission: Usage Guidelines

Completing the Lds Permission form is an essential step for ensuring the safety and well-being of participants during events organized by the Church of Jesus Christ of Latter-day Saints. This form gathers important information regarding the participant's health, dietary needs, and emergency contacts. After filling out the form, it will be submitted to the event planner for review and approval.

Begin by entering the event details. This includes the event date, a description of the event and activities, the ward or stake, and the event or activity leader's contact information.
Fill in the participant's information. Provide the participant's name, date of birth, age, and primary and secondary telephone numbers.
List the participant's address, including city and state or province.
Provide the emergency contact information for the parent or guardian, including their primary and secondary telephone numbers.
Indicate if the participant requires a special diet and explain any dietary restrictions, if applicable.
Answer whether the participant has any allergies. If yes, please list them.
State if the participant is taking any medication or over-the-counter drugs. Indicate whether they can self-administer their medication.
Note if the participant has a chronic or recurring illness. If yes, provide details.
Indicate if the participant has had any surgery or serious illness in the past year and provide explanations if applicable.
Identify any other limits, restrictions, or disabilities that may affect the participant's ability to fully engage in the event.
List any other accommodations or special needs the participant may have.
In the permission section, provide consent for the participant to attend the event and authorize adult leaders to administer emergency treatment if necessary.
Ensure the participant signs the form. If required, have the parent or guardian also sign the form.
Finally, date the form to confirm when it was completed.

Your Questions, Answered

What is the purpose of the LDS Permission Form?

The LDS Permission Form is designed to ensure that parents or guardians provide consent for their child or youth to participate in specific events or activities. It also allows for the collection of important medical and safety information to protect participants during the event.

When should I complete the form?

Complete the form for each event or activity that involves special considerations. This includes overnight stays, travel outside the local area, or activities that carry higher than ordinary risks. Each event requires a separate form.

What information do I need to provide on the form?

Participants must provide details such as their name, date of birth, age, contact information, and any medical concerns. Additionally, information about dietary restrictions, allergies, medications, and any chronic illnesses should be included. This helps event leaders make necessary accommodations.

What if my child has allergies?

If your child has allergies, it is essential to indicate this on the form. You should list all known allergies to ensure that event leaders can take appropriate precautions during the event.

Can my child self-administer medication during the event?

Indicate whether your child can self-administer their medication on the form. If they cannot, please contact the event leader directly to discuss how medication will be managed during the event.

What happens if my child requires special accommodations?

If your child has special needs or requires accommodations, specify these on the form. Attach additional pages if necessary to provide complete information. This ensures that event planners can address these needs effectively.

What is the permission statement on the form?

The permission statement allows parents or guardians to authorize adult leaders to supervise their child during the event and to administer emergency treatment if necessary. It also emphasizes the importance of adhering to Church standards and safety rules.

What are the consequences of inappropriate behavior during the event?

Participation in events is a privilege, not a right. If a participant behaves inappropriately or poses a risk to themselves or others, their participation can be revoked. It is important for both parents and participants to understand this policy.

Do I need to sign the form for my child?

If the participant is a minor, a parent or guardian's signature is required. This signature indicates that the parent or guardian has read the form, understands the information provided, and gives permission for their child to participate.

Where can I find more information about the form and its requirements?

For more details, refer to Handbook 2: Administering the Church, specifically section 13.6.20, available on ChurchofJesusChrist.org. This resource provides additional guidance on the use of the permission form.

Common mistakes

Incomplete Information: Failing to fill out all required fields can lead to delays or complications. Ensure every section, especially emergency contact details, is fully completed.
Missing Signatures: Not signing the form can invalidate it. Both the participant and the parent or guardian (if applicable) must provide their signatures.
Ignoring Dietary Restrictions: If the participant has specific dietary needs, neglecting to specify these can lead to health issues during the event. Always provide detailed information if applicable.
Overlooking Allergies: Failing to disclose allergies can pose serious risks. Be sure to list all known allergies to ensure the participant's safety.
Medication Miscommunication: Not clarifying whether the participant can self-administer medication can lead to misunderstandings. Clearly indicate the participant's ability to manage their medications.
Neglecting Chronic Conditions: If the participant has a chronic illness, it is crucial to explain it on the form. This information helps event leaders provide appropriate care.
Inaccurate Event Details: Providing vague or incorrect information about the event can create confusion. Be specific about the event date and activities planned.
Failure to Communicate Special Needs: If the participant has special accommodations or needs, not mentioning them can hinder their experience. Always communicate any special considerations to the event planner.

Documents used along the form

The LDS Permission form is essential for ensuring that participants have the necessary approvals and medical considerations addressed for church-related activities. However, it is often accompanied by other important documents that help facilitate a smooth experience. Below is a list of forms that are commonly used alongside the LDS Permission form.

Medical History Form: This document provides detailed information about a participant's medical background, including past illnesses, surgeries, and ongoing treatments. It helps event organizers understand any health issues that may require attention during the event.
Emergency Contact Form: This form lists individuals who can be contacted in case of an emergency. It typically includes names, relationships, and phone numbers, ensuring that event leaders have immediate access to someone who can make decisions if needed.
Behavior Agreement: Participants often sign a behavior agreement to acknowledge their understanding of expected conduct during the event. This document outlines the rules and consequences for inappropriate behavior, promoting a safe and respectful environment.
Transportation Release Form: If transportation is provided for an event, this form grants permission for participants to travel in church-organized vehicles. It also addresses liability concerns and ensures that parents are aware of the transportation arrangements.
Photo Release Form: This document allows the church to take and use photos of participants during the event for promotional purposes. Parents or guardians must sign this form to grant permission for their child's image to be used in church materials.

These documents work together to create a comprehensive framework for managing events safely and effectively. By ensuring that all necessary permissions and information are collected, organizers can focus on providing a positive experience for all participants.

Similar forms

Medical Release Form: Similar to the Lds Permission form, a Medical Release Form allows parents or guardians to grant permission for medical treatment in case of emergencies. Both documents require details about the participant's health and any special considerations.
Field Trip Permission Slip: This document is used by schools to obtain permission from parents for their children to attend a field trip. Like the Lds Permission form, it includes information about the event, emergency contacts, and any special needs of the participant.
Activity Consent Form: Often used for sports or recreational activities, this form seeks parental consent for a child to participate. It shares similarities with the Lds Permission form by requiring information about the participant’s health and any restrictions.
Waiver of Liability: A Waiver of Liability protects organizations from legal claims if a participant is injured. This document, like the Lds Permission form, often includes sections on health concerns and emergency contacts, ensuring that the organization is aware of any risks.
Overnight Camp Registration Form: This form collects information for children attending overnight camps. It resembles the Lds Permission form by requesting health information, dietary restrictions, and emergency contacts, ensuring a safe experience for all participants.

Dos and Don'ts

When filling out the LDS Permission form, it is essential to follow certain guidelines to ensure that the process goes smoothly. Here are some important dos and don'ts:

Do complete a separate form for each event or activity that involves special considerations, such as overnight stays or higher-risk activities.
Do provide accurate and detailed information about the participant, including their emergency contact information.
Do specify any dietary restrictions or allergies the participant may have to ensure their safety during the event.
Do sign the form to give permission for your child or youth to participate and to authorize emergency treatment if necessary.
Don't leave any sections of the form blank, as incomplete forms may delay participation or cause safety issues.
Don't forget to communicate any special needs or accommodations that the participant may require to the event planner.

Following these guidelines will help ensure that the participant is well-prepared and safe during the event.

Misconceptions

Misconceptions about the LDS Permission Form can lead to confusion for parents and participants. Here are ten common misunderstandings, along with clarifications to help you navigate the process more effectively.

Only children need to fill out the form.
Many believe that the form is only for minors. However, it is required for all participants, regardless of age, especially for events with special considerations.
The form is optional for low-risk activities.
Some think that if an event seems low-risk, the form isn't necessary. In reality, the form should be completed for any event involving travel, overnight stays, or higher than ordinary risks.
Emergency contact information is not important.
Some parents may overlook this section. Providing accurate emergency contact details is crucial for ensuring the safety and well-being of participants.
Dietary restrictions don’t need to be disclosed.
It's a common misconception that dietary needs can be ignored. If a participant has specific dietary restrictions, these must be clearly stated on the form to ensure proper accommodations.
Allergies are not a concern.
Some may think that allergies are not relevant for church events. However, disclosing allergies is essential for preventing allergic reactions during activities.
Medications can be self-administered without permission.
Many assume that participants can manage their own medications. The form requires parents to indicate if a participant can self-administer medication, ensuring proper supervision and care.
Chronic illnesses do not need to be mentioned.
Some individuals may think that chronic conditions are private. However, sharing this information helps event leaders provide appropriate support and accommodations.
Participants can behave as they wish during events.
There is a belief that participation is a right. In truth, participants are expected to follow Church standards and safety rules, and inappropriate behavior can lead to revocation of participation privileges.
Permission forms are only for church-sponsored events.
People often think these forms are only necessary for official church activities. However, they apply to any event organized by church leaders, regardless of its formality.
One form suffices for multiple events.
Some assume that a single form can cover all events. In fact, a separate form must be completed for each event to ensure all details are current and specific.

Understanding these misconceptions can help ensure that participants are adequately prepared and safe during church activities. Always read the form carefully and provide complete information to facilitate a smooth experience.

Key takeaways

Filling out the LDS Permission and Medical Release Form requires attention to detail and adherence to guidelines. Here are key takeaways to consider:

The form must be completed separately for each event, especially those with special considerations.
Event planners should provide specific details about the event, including dates and activities.
Contact information for the event leader is essential for communication and emergencies.
Participants' personal information, such as age and contact numbers, must be accurately recorded.
Emergency contact details should include a parent or guardian's information.
Any dietary restrictions or allergies must be clearly noted to ensure participant safety.
Medication information is crucial; indicate if the participant can self-administer any medications.
Chronic illnesses or recent surgeries should be disclosed to prepare for any potential health issues.
Participants are expected to follow Church standards and safety rules during the event.
Signing the form indicates consent for emergency treatment and acknowledges the participant's responsibilities.

Overall, completing the form accurately helps ensure a safe and enjoyable experience for all participants involved in the event.