NEW CYIA Application

Permission to Transport

PERMISSION TO TRANSPORT TO AND FROM CYIA: I, ________________________________give permission for ___________________________ to transport my son/ daughter, ______________________________________, to CYIA training held at Oklahoma Baptist University on _________________________(day of week) and return date of ___________________if I am unable to pick him or her up.

I agree that this signature will be an electronic representation of my signature for all purposes when I use them on documents, including legally binding contracts - just the same as a wet ink signature on paper.

Parent/Guardian Signature

PERMISSION TO TRANSPORT WHILE AT CYIA: I _____________________________ give permission for my child_________________________________ to be transported by a CEF staff member to any CYIA activitiy.(Required)

Parent/Guardian Signature

Photography and Video Release: Child Evangelism Fellowship® may, from time to time, document the activities of the ministry with photos or videos. I hereby assign and grant to Child Evangelism Fellowship Inc., its subsidiaries and successors, and assign the unqualified right to the ownership, use and proceeds of all photographs or video of me or my minor child, without reservation or limitation, including use of photographs or video of me or my minor child for, but not limited to, advertising, educational and promotional purposes.

Name of Child or Adult Participant:

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Signature

Date

Permission to Transport During 5-Day Club Ministry Weeks - Waiver for Minors.

Item number six of the Child Evangelism Fellowship (CEF®) USA Child Protection Policy fact sheet states, “Even when ministry to children is not taking place, an additional adult or minor must be present when two workers are together and one is a minor, unless the minor’s parent or guardian has signed a waiver.” I understand that there may be occasions when my child may be traveling from location to location in the company of only one adult of legal age. Therefore, I, the parent or legal guardian of __________________, a minor, hereby waive the above requirement for this minor and give my permission for him/her to travel and serve with Child Evangelism Fellowship without being accompanied by two or more adults at any given time(Required)

Minors Name

Parent/ Guardian Signature

Date(Required)

PARENT OR LEGAL GUARDIAN - I recognize that as with any activity involving motor vehicle transportation, there exists the potential for accidents resulting in bodily injury and/ or loss of limb or life. • We acknowledge that there exists the potential of a vehicular accident occurring while our child or children are being transported while under the care of the Drivers designated. • I, we assume the healthcare expenses relating from any such accident, illness or other incapacity which may occur while our child or children are under the care of the designated driver.• Designated drivers above has and maintains valid and adequate vehicle and liability insurance to provide an umbrella of coverage for all occupants of the transportation vehicles.(Required)

Parent/ Guardian Signature

Date(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Home Phone(Required)

Cell Phone(Required)

Other person ( relationship) and phone number to contact in case of emergency.(Required)

PERSONAL INFORMATION:

EDUCATION AND TRAINING:

SPIRITUAL LIFE:

EXPERIENCE:

MINISTRY: FOR SENIOR MISSIONARIES CANDIDATES ONLY

CHILD EVANGELISM FELLOWSHIP®

Medical Questionnaire

Permission to Transport

Permission to Transport During 5-Day Club Ministry Weeks - Waiver for Minors.

Central Oklahoma

We'd love to hear from you!

Mark 16:15