How to Fill Out and Submit the LDS Medical Release Form

The LDS medical release form, formally called the Parental or Guardian Permission and Medical Release Form, is a one-page PDF from The Church of Jesus Christ of Latter-day Saints that authorizes a minor to attend a specific Church activity and lets leaders seek emergency medical care if needed. Parents or guardians complete it, sign it, and hand it to the activity leader before the event begins. The current version (revised January 2026) is a free download from the Church’s safety resources page.1Safety and Health for Church Activities—Church of Jesus Christ. Safety and Health for Church Activities

When You Need a Signed Form

The General Handbook lists three triggers. A youth activity requires a signed form from every participant if it involves any one of them:2The Church of Jesus Christ of Latter-day Saints. General Handbook 20 – Activities

  • An overnight stay, whether at a campground, cabin, or another member’s home.
  • Lengthy travel outside the local area, such as a temple trip to a distant city or a multiday conference.
  • Higher-than-ordinary physical risk, such as hiking, water sports, or winter activities.

Weekly youth nights at the meetinghouse and routine Sunday meetings generally do not require the form. The form itself confirms this scope, stating that written consent is necessary for activities with an overnight stay or inherent risks tied to physical activity, travel, or outdoor experiences.3The Church of Jesus Christ of Latter-day Saints. Parental or Guardian Permission and Medical Release Form

One form covers one event. The authorization language limits permission to “this event and travel to and from this event,” so a new form is required for every qualifying activity, even if the same youth attended a similar trip a month earlier.3The Church of Jesus Christ of Latter-day Saints. Parental or Guardian Permission and Medical Release Form Families with more than one youth attending the same event need a separate form for each child.

What Each Section Asks For

The form is a single page. The activity leader usually fills in the event details at the top, and the parent or guardian completes the rest.

Event Details

Blank fields at the top cover the event name and dates. These are often pre-filled or handed out with the event information already printed so parents know exactly which activity they are authorizing.

Participant Information

Enter the youth’s full legal name, date of birth, age, telephone number, home address, city, and state or province. Use the legal name rather than a nickname so the form is useful in a medical setting.3The Church of Jesus Christ of Latter-day Saints. Parental or Guardian Permission and Medical Release Form

Emergency Contact

The form asks for one emergency contact, identified as the parent or guardian, with a primary and a secondary telephone number. List two genuinely different numbers where you can be reached during the activity. If you know you will be out of cell range during the event dates, list a second reliable adult as the secondary contact and let the activity leader know.3The Church of Jesus Christ of Latter-day Saints. Parental or Guardian Permission and Medical Release Form

Health Information

This section is what leaders and any responding medical personnel will rely on if something goes wrong. It has four yes/no items with room to explain each one:

  • Special diet, whether medical (celiac disease, food intolerances) or religious.
  • Allergies. Be specific about severity. “Bee stings — carries EpiPen” tells a leader far more than “bee stings.”
  • Current medications, including every prescription and over-the-counter drug the youth takes, with dosage and schedule. Leave blank if none.
  • Chronic or recurring illness, such as asthma, diabetes, or a seizure disorder.

Do not skip or minimize this section. The form states that health information will be kept confidential and shared only as needed.4The Church of Jesus Christ of Latter-day Saints. Parental or Guardian Permission and Medical Release Form

Signing the Form

The bottom of the form has two signature lines with date fields: one for the participant and one for a parent or guardian. A parent or legal guardian’s signature is required for anyone under 18.3The Church of Jesus Christ of Latter-day Saints. Parental or Guardian Permission and Medical Release Form

The Church has not published an official policy on electronic signatures. A paper form with a handwritten signature is the most universally accepted version, particularly on trips where the form may need to be shown to medical personnel unfamiliar with any digital authorization used by your ward. If your ward uses electronic registration, ask your activity leader whether a printed and hand-signed copy is also needed.

Turning It In

Give the completed form to the person leading the activity. The General Handbook directs that “the person who leads the activity should have a signed form for each participant,” and the form’s own instructions say the activity leader should have access to all participants’ forms during the event.2The Church of Jesus Christ of Latter-day Saints. General Handbook 20 – Activities That leader carries the forms throughout the trip so they are immediately available in a medical situation.

Submit the form before departure day whenever possible. That gives leaders time to follow up on incomplete health disclosures or missing signatures before the group leaves.

Where to Download the Form

The current PDF is on the Church’s safety resources page. You can also ask your bishop, ward activity leader, or Young Men or Young Women president for printed copies.

Print as many copies as you need, one per child per event.