Please fill out the Student Ministries (5th-12th) Permission Slip (below) carefully.

Valid August 2017 through August 2018






Parent or Guardian

I give my permission for my son/daughter to participate in the activities of Cornerstone Student Ministries during the calendar year of August 2017 through August 2018.

Should an emergency arise, the leaders and supervisors of the event(s) have my permission to seek and obtain any necessary medical care for my son/daughter.

I agree to hold harmless and indemnify Cornerstone Evangelical Presbyterian Church, its employees, and volunteers against any claim or action that might arise on behalf of myself or my son/daughter other than for the willful, wanton or reckless misconduct of Cornerstone Evangelical Presbyterian Church, its employees or volunteers.

I understand and my student understands that I may be notified and my child may be sent home at my expense before and event is over in the event of misbehavior on the part of my Student.

Please type your initials to agree to these terms.

By typing my name, I acknowledge this as a representation of my signature.

Medication Waiver

I have read and understand the CMS meds policy and have completed authorization form on file giving permission to leaders to administer prescribed and OTC medications as outlined in that policy.

Please type your initials.

Photography Waiver

I understand that photography and videography of students attending activities and events may be used and displayed for promotional purposes.

Please type your initials.