Teen Yearly Permission Form

This form serves as a medical release for all IBC sponsored activities from September 1, 2023 - August 31, 2024. In the event your child needs emergency medical care, every effort will be made to contact you immediately.

Activities outside the greater Wausau area, or higher risk activities will require another permission slip. I will be made aware of all activities through social media (Facebook pages IBC1Journey or Immanuel Baptist Church Wausau), our website (www.ibcwausau.org), church bulletin and/or my teens.

Should this information change, it is my responsibility to fill out a new form and turn it in to the church office.

When it is deemed necessary for my son/daughter's health, the leaders may have my son/daughter hospitalized or use outside medical, surgical, or dental aid, in which case I shall pay for all such expenses. I shall in no way hold Immanuel Baptist Church or its representatives responsible for any financial obligation.

I GIVE MY CONSENT FOR MY SON/DAUGHTER TO PARTICIPATE WITH IMMANUEL BAPTIST CHURCH, AND RECEIVE EMERGENCY MEDICAL CARE IN MY ABSENCE.
Student Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Parent/Guardian Information

 
 
 
 
 
 
Please select all that apply.
 
 
 
 
 
 
Parent/Guardian Approval

Please select all that apply.
 
 

Description

This form serves as a medical release for all IBC sponsored activities from September 1, 2023 - August 31, 2024. In the event your child needs emergency medical care, every effort will be made to contact you immediately.

Activities outside the greater Wausau area, or higher risk activities will require another permission slip. I will be made aware of all activities through social media (Facebook pages IBC1Journey or Immanuel Baptist Church Wausau), our website (www.ibcwausau.org), church bulletin and/or my teens.

Should this information change, it is my responsibility to fill out a new form and turn it in to the church office.

When it is deemed necessary for my son/daughter's health, the leaders may have my son/daughter hospitalized or use outside medical, surgical, or dental aid, in which case I shall pay for all such expenses. I shall in no way hold Immanuel Baptist Church or its representatives responsible for any financial obligation.

I GIVE MY CONSENT FOR MY SON/DAUGHTER TO PARTICIPATE WITH IMMANUEL BAPTIST CHURCH, AND RECEIVE EMERGENCY MEDICAL CARE IN MY ABSENCE.