PARENTAL CONSENT FORM FOR YOUTH VOLUNTEERS

I grant permission for_______________________ (Youth Name) to participate in activities in and around Christian Children’s Ministry dba Son Valley Youth Ranch, and I warrant that my child is in good health. In consideration of my child’s participation, I agree to indemnify Christian Children’s Ministry dba Son Valley Youth Ranch from any claims or law suits brought against it by myself, my child or others,that arises out of any behavior or actions of my child at the location described above. I also agree to pay reasonable attorney’s fees or expenses incurred by Christian Children’s Ministry dba Son Valley Youth Ranch in defense of such a claim/suit.

EMERGENCY MEDICAL TREATMENT: In the event of an emergency, I give permission to transport my child to a hospital for medical treatment. In the event of any emergency, if you are unable to reach me at the following numbers, contact the emergency contact below.

Parent home phone ___________________________ Parent e-mail ____________________________
Parent cell phone(s) ___________________________         ____________________________________
Emergency contact other than parent ___________________________ __________________________
name				phone

ADDITIONAL MEDICAL INFORMATION:
Family Doctor_____________________________ Phone Number_______________________
Preferred Hospital________________________________________
I agree to all of the above stated considerations/conditions _____________________________
Parent or Guardian Signature
HORSEBACK RIDING
Horseback riding is optional. You (age 18 or older) or your child cannot ride unless you give specific permission. Your signature below indicates that you understand that horseback riding can be dangerous, that you agree to have SVYR provide an equine safety helmet, and you have read and understand the following MO Equestrian Liability Law: Under Missouri law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to the Revised Statutes of Missouri.
(Missouri Revised Statutes, Section 537.325

_________________________________  __________________________ _______________
Signature of Parent/Guardian 	          Youth Name		                Date