Bible Adventure/CIA Permission Form

Before you register your child for the Bible Adventure or CIA Programs, please make sure it is offered at your child's school. Visit our Locations/Schedules web page at www.joyelgeneration.org for a list of available classes.

When you enroll your child in Bible Adventure or CIA, that child is enrolled for the current school year only. To continue in the program each year, a new registration must be completed at the beginning of each school year. Once enrolled, your child must attend unless you provide a written notice that you are withdrawing your child from the program. Your signature on this form is effective until you inform us otherwise. A volunteer will contact you prior to the start of the program to verify enrollment.
How Did You Hear About This Program?
Student's Information
Name*
First Last
Sex*
- Male
- Female
Address*
Street Address City State / Province / Region ZIP / Postal Code
Home Phone*
Student Cell Phone #
Student's Email
Birth Date*
Month
Day
Year
School*
(if home-schooled or virtual please note that)
Homeroom / Teacher's Name
Name of Bible Adventure or CIA program you will attend:*
School Grade*

Parent or Guardian Information
Name*
Prefix First Last
Is address same as student's?*
- Yes
- No
Address*
Street Address City State ZIP Code
Phone*
Home Phone*
Cell Phone
Work Phone
Email*
How would you prefer to be contacted?*
- Phone Call
- Text
- Email
Emergency Contact Information
Emergency Contact Name*
Emergency Contact Phone*
Doctor's Name
Doctor Phone
Health Insurance Company*
Health Insurance Policy #*
List medications your child is allergic to, health problems, and special behavioral or learning needs.*

Church Information
Church Name
Church Address
Street Address City State ZIP Code
Pastor's Name
Church Phone Number
Church Email
For the Parent or Guardian
Would you be willing to serve as a Bible Adventure or CIA volunteer?
- Yes
- No
Has your child attended Bible Adventure or CIA before?
- Yes
- No
What school and what grade?
Parent Consent Statements
Consent*
I agree to the privacy policy.
I give permission for my child to participate in the Bible Adventure Program. Registered students must attend each week.
I understand my child will be walked or transported (van, bus, or personal vehicle) to and from the place of instruction by the Bible Adventure volunteer staff.
Bible Adventure volunteer staff will serve in loco parentis for me to attest to my child’s attendance at the religious sessions.
I give permission for Joy El to use photos that include my child in print or electronic media for publicity purposes.
Joy El Generation will in no way be responsible for medical treatment or liability resulting from physical conditions existing prior to my child attending Bible Adventure.
By providing an email address, I am granting Joy El permission to email news and information about Joy El programs to the address(es) provided.
I give permission to the Bible Adventure volunteer staff to act on my behalf in my child’s best interest in the event of an accident or emergency. I give permission to the hospital and/or doctor to treat or operate on my child.
I give Joy El permission to release insurance information to medical or hospital personnel in the event that my child should need medical attention.
Date*
MM slash DD slash YYYY
Post Custom Field

Step 1 of 3

Student's Information

Parent or Guardian Information

Emergency Contact Information

Church Information

For the Parent or Guardian

Parent Consent Statements