YOUTH ACTIVITY online permission form and WAIVER

    I hereby authorize the appointed representatives of Sanctuary to transport, minister to, authorize emergency treatment and to otherwise act in this child’s behalf when I can not be reached and/or when delay would be dangerous, in order to protect from harm.
    In addition, I hold harmless Sanctuary and its representatives for any event in which the above child may be injured in any way. I understand that this permission and waiver is valid for the calendar year in which it was signed, unless personally revoked by me.
    By filling out this form I acknowledge that this is my electronic signature.
    Max file size: 20MB