Children's Ministry Release Form

Necessary release form for your child's safety

Liability Release Form & Medical Authorization Form

As a parent / guardian of the below minor youth(s) and participant in the programs of Impact365 - A Family Worship Center (aka IFWC) student ministries, I do hereby release, forever discharge and hold harmless IFWC, and the directors / pastors / volunteers thereof, from any and all liability, claims, or demands for personal injury, sickness or death, as well as property damage and expenses.


This release covers transportation provided by IFWC and its representatives who are properly licensed to drive in the state of Illinois and/or Missouri; also meetings on the IFWC UMC property or any other site during programs and activities; also consent to emergency medical or dental treatment, including examination, diagnosis, treatment, anesthetic, and surgical treatment, the undersigned agrees to pay all costs and expenses.


This release covers all activities for one year following the submission of this form.