Forms for Protection of Minors Policy

Template Documents

Please download and save a copy of the template, then make the appropriate edits (applicable to your program) to the downloaded copy.

Parent/Guardian Form Templates:

Note: Do not overwrite the template documents.

Day Programs (For all College-sponsored day programs involving Minors)

Parental Consent Form Template

Overnight Programs (For all College-sponsored overnight programs involving Minors)

Parental Consent Form Template
Medical History and Treatment Authorization (Programs with nurse or Programs without nurse)
Immunization History

If the format or terms of any of the templates above do not appear suitable for your program, please contact the Office of Risk Management and/or the Office of Legal Affairs to modify them, as needed.

Please Note: A signed parental consent form for each minor participant must be uploaded to the document tab in the minors registration system for your program, under the appropriate document section. They can be saved and uploaded as a single document or grouped together in one document or as a zip file.

Other Forms and Templates:

Note: Do not overwrite the template documents.

Attendance Log (Daily)
Attendance Log (Multi Day/Week Program)
Emergency Contact Worksheet (sample)
Roles and Responsibilities Information for Programs Involving Minors (R&R Document)
- Download a copy of the template, note the yellow highlighted sections in the template. Please refer to the Roles & Responsibilities instruction document which has helpful tips and alternative language to assist you in tailoring the template for your program.
- The only individuals identified by name, in the R&R Document, should be the Program Director and Co-Director.
- When you have a final document, please upload to the registration system in the appropriate section of the documents tab.
- A portion of the R&R document is provided to parents along with the Parental Consent Form, the full document should be provided to your program personnel during your orientation.
Program Personnel Worksheet (template)
Hazard Identification and Control Form (required, if applicable)
Photo-Multimedia Release Form for Participating Minors
- Group Photo/Video: If you plan to photograph participating minors as a group (all participants are photographed), obtain a signature from all parents/guardians, in advance of the program or at time of registration. These signed forms must be uploaded in advance of the program.
- Small Group/Individual Photo/Video: If you photograph participating minors individually or in small groups (not all participants), obtain signatures only from the parents/guardians of those individuals photographed. These signed forms may be uploaded after the program concludes.