Catalyst Transportation Consent Form

Consent and Release Form to Ride in a Private Vehicle

By filling out this form, you are hereby authorizing a designated Gateway City Church youth leader to transport your minor child to organized Catalyst Ministry events in their privately owned vehicle.

* Indicates required field

Name of Parent of Guardian *

First

Last

Parent's Phone Number *

Name of Minor Child *

First

Last

Minor's Phone Number *

Release: On behalf of myself and my child, I agree to release and discharge, and agree to indemnify and hold harmless, Gateway City Church and its leadership, employees, volunteers, leaders, chaperones, and/or any other persons or entities acting on hits behalf, from any and all claims, rights of action and causes of action that may have arising in the past or may arise in the future, directly, or indirectly, from the transportation of my child with respect to the above event. I have read and agree to the Consent and Release provisions above.

Electronic Signature of Parent or Guardian *

Today's Date *

Optional Comments *

Submit