Off-Campus Permission Form

I, as the parent or legal guardian of

First Name

Last Name

First Name

Last Name

First Name

Last Name

First Name

Last Name

hereby give my permission for my son(s)/daughter(s) to leave the campus of King'sGate Worship Center on

Date

Time

and will return on

Date

Time

We will be going to:

Destination/Event

with:

Name of Leader(s):

In the event of media coverage my child/youth has permission to participate. Please check one.
Yes
No

I understand all due diligence for care of my child while away will be taken, so I release King’sGate Worship Center of any liabilities while away from the church; to include accidental, medical, or incident.

First and Last Name

Date

Parent/Legal Guardian

Email Address