Youth Transport Waiver

As the parent/guardian of ___________________________________, I hereby grant permission for my child

Full name of child (please print)

to be transported via private or church owned vehicle to and/or from Liberty United Methodist Church functions on an ongoing basis solely by the below named driver(s):

__ Jeanette McClure_____ - who has undergone a required background check,

Liberty UMC Youth Pastor verified by the Safe Sanctuaries Committee of Liberty UMC.

_________________________ - who has undergone a required background check,

Driver’s Name verified by the Safe Sanctuaries Committee of Liberty UMC.

(please print)

_________________________ - who has undergone a required background check,

Driver’s Name verified by the Safe Sanctuaries Committee of Liberty UMC.

(please print)

_________________________ - who has undergone a required background check,

Driver’s Name verified by the Safe Sanctuaries Committee of Liberty UMC.

(please print)

By signing, I hereby acknowledge that normal Liberty United Methodist Church Safe Sanctuaries procedures requiring a minimum of two adults to be present when my child is transported are waved, and agree to exclude Liberty United Methodist Church, the Rev. Bob Norwood or Jeanette McClure from any liability.

______________________________* _____________________

Parent/Guardian Date Signed

Signature

As Youth Pastor at Liberty United Methodist Church, I hereby give permission for the above individual(s) to transport the above named youth to and/or from church functions with parent/guardian permission and signature along with senior pastor’s permission and signature.

______________________________* _____________________

Jeanette McClure Date Signed

Signature

As Senior Pastor at Liberty United Methodist Church, I verify the above individuals have had & passed a Safe Sanctuaries background check, which has been verified by the Safe Sanctuaries Committee of Liberty UMC.

______________________________* _____________________

Rev. Bob Shell Date Signed

Signature

*Not valid without all signatures