Consent and Certification
I, the undersigned, being the parent or legal guardian of the student named above, do hereby consent to the
participation of my student in all the scheduled student activities of Northside Baptist Church, and any other
supervised activities customarily associated with its student group, including student rallies and overnight or
weekend student trips and including transportation to the event locations. I also do hereby consent to allow photographs and/or videos of my student to be posted on
social media for the purpose of promoting the ministry and activities of Northside Baptist Church student ministry.
Further, I certify that my student is physically fit and adequately prepared to participate in all recreational and
sporting events. If I wish to revoke this consent for any reason, I will promptly notify the Student Pastor in writing.