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United Collective Visitor Youth Waiver Agreement

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Dear Parents/Guardians,

We are excited to welcome your child as a visitor to our community! To ensure a safe and positive experience for all, we ask that you complete this Youth Visitor Waiver Agreement before your child participates in any activities on-site.

This form:

  • Provides us with important emergency contact and medical consent information.

  • Protects both families and our organization by clarifying risks and responsibilities.

Thank you for your partnership in helping us create a safe, respectful, and faith-filled environment. We look forward to spending time with your child!

The Youth Visitor Waiver Agreement is a document required for any minor who visits our community or participates in activities on-site but is not a registered member or student. Its purpose is to ensure safety, clarify expectations, and communicate the faith-based environment of our program.
1. *

Youth Participating Name(s): 
2. *

Date of Birth(s):
3. *

Age(s): 
4. *

Parent/Guardian Name:
5. *

Phone Number:
6. *

Emergency Contact:
7. *

Purpose of Visit

This agreement covers the youth listed above (“Visitor”) while present at the facilities or events hosted by United Collective on September 25, 2025.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
8. *

Acknowledgment of Risk

I, the undersigned parent/guardian, understand that while my child is on-site as a visitor, participation in activities, classes, or events may involve inherent risks. The Organization will take reasonable precautions for safety, but unforeseen circumstances may occur.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
9. *

Faith-Based Acknowledgment

I understand that the Organization is a Christian community that operates under its Statement of Faith. Activities, discussions, and teachings reflect Biblical principles. As a visitor, my child will be exposed to Christian values, prayer, and Christ-centered instruction.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
10. *

Medical Consent

In the event of an emergency, I authorize the Organization’s representatives to obtain medical treatment for my child. I understand that I am financially responsible for any medical services provided.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
11. *

Media Release (Optional)

 

 (1 required)
I grant permission for photos/videos of my child taken during this visit to be used by the Organization for promotional and educational purposes. I do not grant permission.
12. *

Visitor Expectations

  • My child will follow all rules, guidelines, and directions provided by staff or volunteers.

  • My child will show respect toward peers, instructors, and the Christian environment of the Organization.

  • I understand that my child may be asked to leave the premises if behavior is unsafe, disruptive, or not in alignment with community standards.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
13. *

Acknowledgment & Agreement

I have read and understand this Visitor Waiver. I voluntarily sign it on behalf of my child.
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature.
14. *

Safety and Security Notice

Dear Parents/Guardians,

The safety and security of all children in our community is a top priority. As part of our check-in and visitor management process, we require each parent/guardian to upload or provide a copy of a valid driver’s license (or government-issued photo ID).

This step helps us:

  • Verify the identity of parents/guardians bringing children onsite.

  • Ensure only authorized adults are allowed to pick up or drop off youth.

  • Maintain accurate records for safety, accountability, and emergency situations.

Your information will be kept secure and used only for safety verification purposes. Thank you for your cooperation in helping us maintain a safe environment for every child in our care.

 

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15. 

Safety and Security Notice

Upload second copy here if more than one parent.

Allowed extensions: csv, doc, docx, dot, gif, heic, heif, htm, html, jpeg, jpg, m4a, mov, mp3, mp4, pdf, png, pps, ppt, pptx, pub, rtf, svg, txt, xls, xlsx, yyz, zip
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