KACH Permission Form

This form is required to give another adult permission to bring and be responsible for your children at KACH activities in your stead. You do not need to fill this form out to bring your own children to KACH events.

This permission form for
only one KACH activity or event.

If there are special circumstances where multiple events or permission needs to be granted for the entire program year, make sure to reach out to board@kachconnect.com first.
My child(ren) will be in the care of the individual listed as the "Responsible Adult" on this form as I will not be able to attend.

In case of emergency, I hereby authorize this person to immediately seek medical treatment as they deem necessary. I understand that I am responsible for all medical costs incurred.

Enter the legal first AND last name of the adult who will be responsible for the children at this event.

Emergency Information

Please provide the following information, which will only be utilized if needed.
By signing this form, you grant consent as stated:  I hereby consent to the attendance of my child on the above-mentioned activity with KACH.  I understand that there are some risks associated with these events, and I knowingly release KACH and members from any and all liability occurring as a result of their sponsorship and management of this event.