Attendee

Event or Trip
Attendee Name
Is the attendee under 18?
Gender
Parent or guardian's details if the attendee is under 18.
Parent or guardian's details if the attendee is under 18.
Address

Health and Emergency

Emergency Contact

Release and Consent

[Church Name] Event Release

This release covers [the event or trip selected above], from [start date] to [end date], at [location].

Activities may include [travel, games, sports, swimming, hiking, overnight stays]. These carry risks of injury. Our leaders will supervise, and attendees agree to follow their instructions.

By signing, you release [Church Name], its staff, and its volunteers from claims for injury, loss, or damage arising from the attendee's participation, to the extent the law allows.

If the attendee needs urgent medical care and we can't reach you, you authorize our leaders to arrange treatment. You're responsible for any costs not covered by insurance.

If the attendee is under 18, a parent or guardian signs this form for them.

[Have these terms reviewed for your area, then delete this line.]

Release Agreement
Medical Treatment
Photo and Video Permission
Clear Signature
A parent or guardian signs if the attendee is under 18.

Youth group outings, retreats, mission trips, and camps all need the same thing before anyone gets on the bus: a parent’s permission, the medical details your leaders need, and a signed release.

Using the Church Release Form Template

This Church Release Form Template collects all three in one online form. Parents can fill it out from their phone, and your youth pastor or event lead gets the details by email.

Use it as a church permission slip, a youth group release, a church camp medical release, a VBS registration release, or a mission trip waiver. Adults attending an event can sign for themselves.

The first section covers the attendee:

  • Event or trip, chosen from your list
  • Attendee name, date of birth, and gender
  • Whether the attendee is under 18
  • Phone, email, and address (a parent or guardian’s details for minors)

The health section gives leaders what they need if someone gets sick or hurt:

  • Medical conditions or allergies, and current medications
  • Preferred hospital, insurance provider, and policy number
  • Emergency contact name, phone, and email

The final section shows your release terms, then asks for consent:

  • Your release terms in an editable text block
  • Agreement to the release
  • Permission for emergency medical treatment
  • A separate yes or no choice for photos and videos
  • A parent or guardian’s name for minors, a signature, and the date signed

Change the event list, terms, and photo wording to fit your church. You’ll get an email for each submission, and families get a copy.

Entries are saved in your WordPress dashboard, so leaders can look up medical details during the event. Release and medical consent rules vary by location, so have your terms reviewed for your area.

Get WPForms Pro to start using this template, along with 2,000+ other pre-made form templates.