Foothills Ward — Permission Form

🟠 Orange fields are pre-filled for each activity — they update automatically when you open an activity link. 🔵 Blue fields save to your device and reload automatically next time.

📋 Event Details — Pre-filled for each activity Changes each activity

Event

2026 High Adventure — Foothills Ward Young Men

Date(s) of Event

May 26–30, 2026

Describe event and activities

Kayaking the Colorado River through Glen Canyon (Lee's Ferry), camping, and hiking Buckskin Gulch — world's longest slot canyon. Page, AZ.

Ward

Foothills Ward

Stake

Glendale North Stake

Leader

David Wheat · 210-601-2913 · [email protected]

👤 Contact Information Saved to your device

Participant Full Name *

Date of Birth *

Age *

Telephone Number *

Address *

City *

State *

Emergency Contact *

Primary Phone *

Secondary Phone

🏥 Medical Information Saved to your device

Does the participant require a special diet?

No Yes

Please explain dietary restrictions

Does the participant have any allergies?

No Yes

Please list all allergies

Medications (prescription or OTC) — leave blank if none

Can the participant self-administer medication?

Yes No — contact a trip leader directly

⚠️ Conditions & Limitations Saved to your device

Does the participant have a chronic or recurring illness?

No Yes

Please explain

Has the participant had surgery or serious illness in the past year?

No Yes

Please explain

Other limits, restrictions, or disabilities

Other accommodations or special needs

✍️ Signatures Type your name to sign

Type your full name below as your signature. By signing, the participant agrees to abide by Church standards and activity rules, and the parent/guardian gives permission and authorizes emergency medical treatment.

Participant Signature *

Today's Date

Parent / Guardian Signature *

Today's Date

📌 How to Submit

Fill in all fields including the ✍️ Signatures section at the bottom
Click 💾 Save My Info — everything saves to your device for next time
Click 📄 Generate Form — a completed PDF with your signatures downloads automatically
Email or text the PDF to a trip leader — no printing or additional signing needed
Next activity: open the link, your info is pre-loaded — update the signatures if needed, generate, and send

Questions? Reach out to a trip leader

Foothills Ward — Permission Form

✅ Form Generated!