Free Lds Permission Form in PDF

Free Lds Permission Form in PDF

The LDS Permission Form serves as a comprehensive document required by The Church of Jesus Christ of Latter-day Saints for individuals participating in specific events or activities. These events may entail special considerations like overnight stays, travel outside the local area, or activities with higher than ordinary risks. Ensure a safe and smooth experience by filling out the LDS Permission Form before participating in any such event.

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Engaging in activities organized by The Church of Jesus Christ of Latter-day Saints requires meticulous adherence to certain protocols, one of which is the completion of the LDS Permission and Medical Release Form. This comprehensive document is pivotal for any event or activity that falls outside the routine - including those that incorporate special considerations, entail overnight stays, involve travel beyond the local vicinity, or carry a heightened level of risk. It is tailored to ensure the safety and well-being of all participants by collecting essential information such as event specifics provided by the planner, participant details, medical information, and necessary permissions. The form serves a dual purpose: it grants authorization for the participant's involvement in the planned event and allows event leaders to take appropriate action in the event of an emergency. Moreover, it delineates the expectations for conduct in alignment with Church standards, emphasizing the importance of Christlike behavior and mutual respect during these activities. By completing this form, participants and their guardians not only facilitate a smooth operational flow for the event organizers but also contribute to a safe, respectful, and enjoyable environment for everyone involved. Accommodations for special needs or dietary restrictions are also considered, ensuring inclusivity and care for each individual's unique requirements. Significantly, this form underscores the principle that participation is a privilege contingent upon appropriate behavior, further underlining its importance in upholding the values and safety protocols of the Church.

Preview - Lds Permission Form

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

Document Specs

Fact Name Description
1. Purpose This form is designed for events or activities involving special considerations, overnight stays, travel outside the local area, or higher than ordinary risks.
2. Source The form is based on guidelines from Handbook 2 of Administering the Church, specifically section 13.6.20.
3. Event Details Section Event planners are required to fill out details about the event including dates, description, and contact information for the event leader.
4. Participant Information Participants or their guardians must provide personal and contact information, including special dietary needs or allergies.
5. Medical Information Information about medications, chronic illnesses, surgery, or serious illnesses within the past year must be disclosed.
6. Permissions Granted The form grants permission for the participant to engage in the events listed and allows for emergency medical treatment.
7. Conduct Expectations Participants must agree to abide by Church standards and exhibit Christlike behavior during the event.
8. Privilege of Participation Participation is considered a privilege that can be revoked for inappropriate behavior or if a participant poses a risk to themselves or others.
9. Signatures Required The form requires signatures from the participant and, if necessary, a parent or guardian, indicating agreement and understanding of the terms.
10. Copyright and Version The information is copyright 2017, 2019 by Intellectual Reserve, Inc., and is identified by the reference PD60004035 000.

Instructions on Writing Lds Permission

Filling out the LDS Permission and Medical Release Form is a crucial step for ensuring the safety and well-being of participants in various church-related activities, events, or camps that involve special considerations, overnight stays, travel, or higher risk activities. This form serves not only as a permission slip but also as a comprehensive medical record that event planners and leaders can refer to in case of an emergency. It's important for parents, guardians, and participants to provide thorough and accurate information to facilitate smooth participation in these events and to enable prompt and effective responses to any health-related incidents.

  1. Begin by entering the Event Details, which should be completed by the event planner. This section includes the dates of the event, a description of the event and its activities, the ward, stake, and the contact information of the event or activity leader.
  2. In the Participant section, fill in the participant's date of birth, age, primary and secondary telephone numbers, and select whether the phone numbers are home, cell, or work numbers.
  3. Enter the participant's address, including city and state or province.
  4. Identify the emergency contact, providing their name and primary and secondary telephone numbers, again specifying the type of phone number for each.
  5. Indicate whether the participant requires a special diet and provide details of any dietary restrictions if the answer is yes.
  6. Detail whether the participant has any allergies. If yes, list all allergies clearly.
  7. Answer if the participant is taking any medication or over-the-counter (OTC) drugs. If medication cannot be self-administered by the participant, contact the event or activity leader as directed. List all medications being taken.
  8. If the participant has a chronic or recurring illness, or if they have had surgery or a serious illness in the past year, provide explanations in the spaces provided.
  9. Identify any limits, restrictions, or disabilities that could prevent full participation in the event, attaching additional pages if necessary for clarity.
  10. In the section titled Other Accommodations or Special Needs, list any other considerations or needs that the event or activity planner should be aware of, using additional pages as needed.
  11. In the Permission section, the participant (and parent or guardian, if necessary) must sign and date the form, giving consent for participation and medical treatment in case of emergency, acknowledging responsibility for conduct, and agreement with Church standards and safety rules.

Once completed, this form should be given to the designated event or activity leader before the event begins. It's crucial that the form is filled out with accuracy and thoroughness to ensure the safety and readiness of both participants and leaders in the event of an emergency or any situation that requires understanding of a participant's medical needs or restrictions.

Understanding Lds Permission

What is the purpose of the LDS Permission and Medical Release Form?

The LDS Permission and Medical Release Form is a comprehensive document designed to ensure the safety and well-being of participants in events and activities organized by The Church of Jesus Christ of Latter-day Saints. It is used to gather crucial information about participants, including medical details, and to obtain consent for participation and medical treatment in case of emergencies. This form is particularly necessary for events that include special considerations, involve overnight stays, require travel outside the local area, or present higher than ordinary risks.

When is it necessary to complete the LDS Permission and Medical Release Form?

It is required to fill out the form for each event or activity that involves special considerations, as outlined in the Church's Handbook 2: Administering the Church, section 13.6.20. Such considerations might include activities with a higher level of risk than usual, events that involve travel away from the local area, or any activities that include an overnight stay. Each participant must have a separate form filled out to ensure all individual needs and consent are properly documented.

What information is required on this form?

The form collects detailed information about the participant, including their name, date of birth, contact information, and emergency contact details. It also inquires about any dietary restrictions, allergies, medications, chronic illnesses, or recent surgeries that the organizers should be aware of to ensure the participant's safety. Additionally, it includes sections for listing medication details, and other accommodations or special needs, and offers space for any additional information that might affect participation in the event. Finally, it contains a permission and medical release statement that must be signed by the participant or a parent/guardian if the participant is a minor.

Why must participants list allergies and medications?

Listing allergies and medications on the form is crucial for ensuring the health and safety of participants during the event. This information allows event leaders to take necessary precautions to avoid allergic reactions and ensure that participants have access to their medications as needed. In case of an emergency, having this information readily available can also speed up medical response and ensure appropriate care is provided.

What happens if a participant cannot self-administer their medication?

If a participant cannot self-administer their medication, it is important that this is clearly indicated on the form. The participant or guardian must then directly contact the event or activity leader to make appropriate arrangements. These arrangements will ensure the participant has the necessary support to manage their medication safely during the event.

How does the permission and medical release section function?

The permission and medical release section of the form serves dual purposes: it grants consent for the participant to engage in the listed activities and provides authorization for adult leaders to administer emergency medical treatment if required. By signing this section, the parent or guardian (or the participant, if of legal age) acknowledges the inherent risks of the event and entrusts the leaders with the authority to act on the participant's behalf in seeking medical attention during emergencies. This authorization is essential for ensuring that participants receive timely and appropriate care, should the need arise.

Common mistakes

One common mistake when completing the LDS Permission and Medical Release Form is not providing specific event details as required. The form asks for a comprehensive description of the event and activities, which is often overlooked or filled out too vaguely. Specificity is vital to ensure all involved parties have a clear understanding of the event, including its potential risks and requirements. This oversight can lead to inadequate preparation for the unique needs of the event.

Another frequent error involves the section on medical information, especially regarding allergies and medications. Often, the form is submitted with this section incomplete or inaccurately filled out. It is crucial to list all allergies, as well as prescription or over-the-counter (OTC) medications being taken by the participant. Failure to do so can prevent event leaders and medical personnel from providing appropriate care in case of an emergency. This information must be accurate to guarantee the participant's safety.

Failure to provide detailed contact information for both primary and secondary emergency contacts is also a common oversight. The form specifies the need for multiple contact methods, including home, cell, and work phone numbers. Without this information, reaching a participant's guardian in a timely manner during an emergency can become challenging. It is essential to fill out this section thoroughly to ensure there are reliable means to communicate with the participant's emergency contacts if needed.

Last, not adequately addressing special needs or dietary restrictions is a mistake that can affect a participant's well-being during the event. The form specifically asks if the participant requires a special diet or has any other accommodations or special needs. Neglecting to provide detailed explanations for these requirements can lead to insufficient accommodations, potentially excluding the participant from fully engaging in the event. It is important to communicate any special needs clearly to allow event planners to make the necessary arrangements.

Documents used along the form

When preparing for church-related events, especially those organized by The Church of Jesus Christ of Latter-day Saints (LDS), it's crucial to ensure all necessary permissions and medical releases are in place. The LDS Permission and Medical Release Form is a foundational document designed to cover the permission, medical information, and emergency contacts for participants. However, this form is often just one component of a comprehensive packet of documents needed to ensure a safe and organized event. Below are a few other documents often used alongside the LDS Permission form to facilitate these church activities effectively.

  • Activity Plan Form: Outlines the specifics of the event or activity, including objectives, resources needed, a detailed schedule, and safety plans.
  • Medical and Liability Release Form: While the LDS Permission form includes medical release information, a more detailed form might be necessary for events involving higher risks, detailing medical conditions more thoroughly and providing a comprehensive liability release statement.
  • Emergency Contact and Medical Information Sheet: Supplements the emergency contact information provided in the permission form with more detailed medical history and contact information for health care providers.
  • Transportation Form: For events requiring travel, a transportation form detailing travel arrangements, responsible drivers, vehicle information, and insurance coverage is critical.
  • Code of Conduct Agreement: Participants and their guardians might be asked to sign a code of conduct agreement, committing to abide by church standards and event rules to maintain a safe, respectful environment.
  • Parental Consent for Communication: Permits the event organizers to communicate directly with the participant via email, phone, or other electronic means about event details or in case of emergencies.
  • Photo Release Form: Allows for the taking and use of photographs or video recordings of the event for church purposes, specifying how these images can be used and shared.

Collectively, these forms create a robust framework for the safe, effective management of church events, addressing logistical, medical, legal, and ethical considerations. They not only help in mitigating potential risks but also ensure that all participants have a clear understanding of the event expectations, thus contributing to a positive and memorable experience for everyone involved. By utilizing these supplementary documents alongside the LDS Permission and Medical Release Form, event organizers can significantly enhance the safety, organization, and enjoyment of church-related activities.

Similar forms

The Medical Consent Form resembles the LDS Permission Form, especially in authorizing medical treatment in an emergency. Like the LDS document, it outlines the participant's health information, including allergies, current medications, and any underlying health conditions. This similarity ensures that medical personnel have the necessary information to provide appropriate care, even when the parent or guardian is not present.

A Liability Waiver Form also shares common features with the LDS Permission Form. This type of waiver often accompanies activities that involve risk, detailing the participant's acknowledgment of these risks and their agreement not to hold the organization liable for any injuries or damages incurred. Both forms serve to inform participants (or their guardians) about the potential risks and to secure consent, acknowledging the inherent dangers of certain activities.

The Travel Consent Form is akin to the LDS Permission Form when it comes to authorizing minors to travel with an adult who is not their legal guardian. Both forms include essential details such as the dates of travel, destination, and contact information for the responsible adults. This ensures the child’s safety and well-being during the trip, providing a clear line of communication back to the parents or guardians.

An Activity Consent Form, designed for participation in specific events or activities, closely aligns with the LDS Permission Form. It details the nature of the event, supervision arrangements, and any special considerations, such as dietary needs or health issues. The form is crucial for informed consent, making sure parents and participants are aware of what the activity entails and any expectations regarding behavior and participation.

The Participant Agreement Form is similar in purpose to the LDS Permission Form, focusing on the code of conduct and the participant's acknowledgment of rules and standards. It often includes a section where participants agree to follow the organizing body’s rules, much like the LDS form requires an agreement to abide by Church standards and safety instructions. This formal agreement helps maintain a safe, respectful, and orderly environment during the event.

Lastly, the Emergency Contact Form, while more focused on collecting contact information for emergencies, shares elements with the LDS Permission Form. Both documents seek to ensure that event organizers can quickly reach a responsible adult in case of an emergency, providing crucial information such as primary and secondary contact numbers and any relevant medical details of the participant.

Dos and Don'ts

When filling out the LDS Permission and Medical Release Form, it’s important to pay close attention to detail to ensure the safety and well-being of all participants. Here's a list of do's and don'ts to guide you through the process:

Do:
  • Read the form thoroughly before starting to fill it out. This ensures you understand what information is needed and why it's important.
  • Complete a separate form for each event or activity, as the requirements and risks may differ.
  • Be specific about the event details and the participant's medical information to ensure they receive the appropriate care and consideration.
  • Update contact information to include both primary and secondary telephone numbers, ensuring leaders can reach an emergency contact if necessary.
  • List all medications, including over-the-counter drugs, the participant is taking. This is crucial for their safety.
  • Explain any dietary restrictions, allergies, or medical conditions clearly. The more information provided, the better prepared event leaders will be.
  • Sign and date the form as required to authorize participation and medical treatment. This step is legally binding and necessary.
Don't:
  • Leave sections blank. If a section does not apply, write “N/A” (not applicable) to indicate that you did not overlook it.
  • Rush through the form without giving detailed and accurate responses. Mistakes or oversights can lead to serious implications.
  • Forget to list any recent surgeries or serious illnesses within the last year. This information can be critical in a medical emergency.
  • Overlook the need for additional pages if the space provided is insufficient. Ensure all information is complete and attached.
  • Assume permission and conduct rules are understood without discussing them with the participant. Clear communication is essential.
  • Ignore church standards and event safety rules specified in the form. These are designed to protect all participants.
  • Submit the form without reviewing it for accuracy and completeness. Double-check all entries and signatures before submission.

Misconceptions

Understanding the LDS Permission and Medical Release Form is crucial for all involved in activities organized by The Church of Jesus Christ of Latter-day Saints. Several misconceptions may arise regarding its use, purpose, and the details involved. Here, we dispel 10 of the most common misunderstandings:

  • One form fits all events: Each activity or event, especially those involving special considerations, overnight stays, or travel, requires a separate form. This ensures that specific risks and details of each event are adequately addressed.
  • It only covers medical emergencies: While the form does authorize emergency medical treatment, it serves multiple purposes. It grants permission for participation, covers travel to and from the event, and outlines expectations for behavior according to Church standards.
  • Verbal consent is enough: For efficient and legal handling of permissions and emergencies, written consent on the form is necessary, providing clear, recorded authorization from parents or guardians.
  • It’s lengthy and complex: The form is designed to be comprehensive yet straightforward, covering essential information without unnecessary complexity. Its structure is aimed at protecting all parties involved.
  • Personal information is shared widely: The information provided is kept confidential and used solely for the event’s purpose, ensuring participants' safety and accommodating any special needs or considerations.
  • Allergies and medications are optional details: Disclosing allergies, medications, and any chronic illnesses is critical. This information equips event leaders to make informed decisions in case of a medical incident.
  • Participants can administer all medications themselves: While the form asks if the participant can self-administer medication, it is crucial to inform event leaders directly if this is not the case, ensuring proper support is available.
  • It grants indefinite medical consent: The authorization for medical treatment and decision-making applies exclusively to the duration of the event, including travel to and from the location.
  • It’s a waiver of liability for the Church: While the form does require participants to behave responsibly, it does not absolve the Church or its leaders from their duty to provide a safe environment. It states the expectations and responsibilities of all parties.
  • Every participant must sign the form: A participant’s signature is necessary, but if the participant is a minor, a parent or guardian’s signature is also required, ensuring that families are informed and agree to the participation conditions and medical provisions.

Correct understanding and use of the LDS Permission and Medical Release Form ensure that activities are enjoyed safely and responsibly, adhering to Church guidelines and promoting a positive experience for all involved.

Key takeaways

Filling out the LDS Permission and Medical Release Form is a critical step in ensuring the safety and well-being of participants during church-related events and activities. It allows event planners and leaders to be adequately informed about each participant's health needs, dietary restrictions, and any medications they may be taking. Understanding how to properly complete and use this form is essential for both parents and guardians of the participants and the organizers of the events. Here are six key takeaways to bear in mind:

  • The form requires detailed information about the event, including dates, descriptions, and contact details of the event leaders, ensuring clear communication and planning.
  • Each participant needs a separate form for every event they attend, especially if the activities involve overnight stays, travel outside the local area, or present higher than ordinary risks.
  • Medical information, including allergies, medications, and any chronic or recurring illnesses, must be accurately provided to safeguard the participant's health during the event.
  • It’s crucial to specify any dietary restrictions or needs to accommodate all participants appropriately and prevent any health issues.
  • Participants and their parents or guardians must sign the form to give their permission for the participant’s involvement and to authorize emergency medical treatment if necessary. This step is vital for ensuring that leaders have the authority to act in the best interest of the participants under their care.
  • The form encourages participants to behave responsibly and to adhere to Church standards and safety rules, highlighting the importance of personal conduct in maintaining a safe and respectful environment for all attendees.

By thoroughly completing the LDS Permission and Medical Release Form, parents, guardians, and leaders contribute to creating a secure and enjoyable experience for all participants involved in church-related events and activities.

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