First Methodist Church | Milledgeville, GA - 2026 ROL Youth Participation Form

2026 River of Life - Youth Participation

Youth - First Name

Youth - Last Name

Youth - Phone Number

Upcoming Grade

Birthdate

Gender

Home Church

Dietary Restrictions/Allergies

Parent/Guardian - First Name

Parent/Guardian - Last Name

Parent/Guardian - Phone Number

Parent/Guardian - Email

Youth Participation Agreement

I understand that River of Life event leaders will assign me to a work team. Though I am willing to joyfully work on any team, I would prefer to be assigned to...

Choose One

Painting (Ladders Involved)

Landscaping (No Ladders)

Building (Ramps, Porches, Etc.)

Assign Me Where Needed

I also understand that River of Life is a unique event with adult leadership at many levels. I will respect all of the leaders from my church, participating churches, and the hosting church. I will behave in a Christian manner at all times. I will dress modestly and appropriately at all times. I will not bring electronic devices (this includes phones, gaming systems, computers, iPads). I understand that if I do not adhere to these policies I will be asked to change clothes or to turn over the electrical device for safe keeping with my church leader. I will not possess or use tobacco, alcohol, drugs, or firearms while at ROL. If these offenses are made, my parents will be notified along with the necessary authorities, and I will be removed from the ROL event at my parent’s expense.

Youth Signature

Parent/Guardian Permission

If there is a type of work to which you don't want your child assigned, please indicate that here:

I give my permission for my child to participate in the River of Life Mission Event on July 8-12, 2026. I understand my child will be assigned to a work team that will paint, re-roof, porch construction or other home repairs/improvements. In case of emergency, I realize every attempt will be made to contact me. In the event I cannot be reached, I hereby authorize the River of Life youth workers to sign for medical treatment for my child. I will not hold River of Life, the participating churches, the directors, or the youth workers liable for any injuries incurred by my child.

**This permission slip must be signed by a parent or guardian in order for a minor to attend a River of Life event. Also, by signing it you agree to support the agreements made above by the participant.

Parent/Guardian Signature

Emergency Permission & Health Form

I hereby give my permission for River of Life counselors to seek medical help for my child in any situation they deem to merit such help. I also give permission for medical and emergency response personnel, in my absence, to administer any treatment, including surgery, that they deem to be necessary during the time my child is en route to and from, and participating in, the River of Life event to be held with Milledgeville First Methodist Church on July 8-12, 2026.

Parent/Guardian Signature

Is your child covered under hospitalization insurance?

Yes

No

Does the youth have an insurance card?

Yes

No

Name of Insurance Company

Policy Number

Name of Primary Person Insured

Family Physician - Name & Number

Youth's Blood Type

Emergency Contact # 1 - Name & Number

Emergency Contact #2 - Name & Number

List Allergies - food, medications, insects, etc.

If youth takes medication routinely, please list name of medication, along with strength and schedule.

List any particular medical conditions that are relevant to your child’s participation in River of Life.

My child has my permission to be assigned to a work team that will paint, roof, build and repair porches and do other home repairs and improvements. (Any type of work I have not approved has already been so noted on my child’s the Registration Form.) I will not hold River of Life, its directors, coordinators, host churches, participating churches, or counselors for any injuries incurred by my child. I will not allow my child to drive during the event. If they have their own vehicle present, I understand that their keys will be submitted to the director for safe keeping upon registration.

Parent/Guardian Signature

2026 River of Life - Youth Participation

Youth Participation Agreement

Parent/Guardian Permission

Emergency Permission & Health Form

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