A Safe, Fun, and Inviting space for students to hang out, Learn about God, Connect with likeminded Christians and Grow in their Faith.
Grades 6-12 from 7-9:30pm
Information received is confidential and is being gathered for the purposes of serving your student while in the care of Pathway Church. Any medical information collected here serves to authorize Pathway, and its Staff and Volunteers, to obtain medical assistance in emergencies. This form should be completed annually by the Parent /Caregiver.
Occassionally our volunteers may take a picture of the students in class and or participating in an event. Volunteers are not permitted to post them but they may be used in promotionally purposes for the church (ex. Website, Social Media, Posters etc.) Please indicate below what permission is given for this student.
Yes, my student may be photographed and/or published.
No, my student cannot be photographed and/or published.
A policy is in effect that communication is to be used solely for the dissemination of information. Please
indicate below for permission for Youth Ministry Personnel (staff and volunteers) to communicate with
your Student directly via telephone, email, social media and text.
Pathway Church is collecting and retaining this personal information for the purpose of enrolling your child in our programs, to develop and nurture ongoing relationships with you and your student, and to inform you of program updates and upcoming opportunities at our organization. This information will be maintained indefinitely as it is a
requirement of our insurance company and legal counsel. If you wish Pathway Church to limit the information collected, or to view your child’s information, please contact us.
I/we, the Parents or guardians named below, authorize [Pastor Keanna] or one of the Pathway Church Youth Ministry Personnel to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the partcipant named above, should the guardian not be able to be reached.
I/we, named below, undertake and agree to indemnify and hold harmless Ministry Personnel, Pathway
C Church, and its leaders from and against any loss, damage or injury suffered by the participant as aresult of being part of the activities of Pathway, as well as of any medical treatment authorized by the supervising individuals representing Pathway Church. This consent and authorization is effective only when participating in or travelling to events sponsored by Pathway.
This form must be resubmitted at the start of every school year, to ensure that we have up - to - date information.
A separate Informed Letter of Consent will be sent home for all off-site activities and activities of elevated risk.
One-on-one mentoring must be done in public settings and only under the following conditions:
· The ministry lead is informed of the time and place of the meeting prior to the meeting
· Parental permission is granted.
Driving Rules:
All Volunteers must be over the age of 21 to drive a minor, have 5 years driving experience, have a valid and Full G license, have completed a driving application form with Pathway Church
Have exchanged contact information with the parent/guardian at time of pick up and drop off incase of emergency. (This may mean retrieveing your number from the student and sending you a text to inform intention)
