Activity COnsent Form

REQUIRED FOR INDIVIDUAL YOUTH REGISTRANTS NOT SUPERVISED BY AN ADULT. Group Registrants are required to supervise and chaperone their own youth and children and therefore should not fill this form out.

This form is only for parents or guardians of youth individual registrants that are attending the Alive Youth Rally and will not be chaperoned or supervised. If you prefer to download a PDF to print (CLICK HERE), you may fax it to: 864-576-2247 or scan and email it to, after registering Attendee, and we will have it with their registration.

Name of Registered Youth:(Required)
ONLY for individual registrants who are youth (13-17) not supervised by an adult.
Parent or Guardian Name:(Required)
Emergency Contact Name:(Required)