Care Information | Montreat Trip 2026

Thanks for providing information that will enable the youth leadership teams at Second Presbyterian Church and Anchorage Presbyterian Church to take care of your child during the 2026 Montreat Trip. This information will be held as confidential and will only be shared with volunteer adult leaders and/or medical professionals on a need-to-know basis. If you have any concerns, please contact Michael Harper, youth ministry coordinator: mharper@2ndpreslou.org.

Name of Youth:

Name of Parent(s)/Guardian(s):

Emergency Contact

In the event of an emergency, we will do our best to contact you as a parent/guardian using the contact information that we have on file. Please provide any information that might help us contact you such as if/when you’ll be unavailable or hard to reach at any point during the trip.

Please provide an emergency contact who is NOT a parent/guardian for the participant. This is the person for us to contact if for some reason we can’t reach you as the parent/guardian.

Name:

Relationship to Youth:

Cell Phone:

Special Food Needs

Please let us know if you have any special food needs.

Allergies (Including food allergies and allergies to medicine)

Allergy: Type of Reaction: Treatment:

Current Medication

Please list the medications (including over-the-counter) that the participants will have with them on this trip. Contact Michael Harper if an adult needs to hold onto or dispense any medication.

Medication: Purpose: When is it taken?

Other Important Info

Please list as much information as possible that would help staff and adult leaders care for your child.

Restriction(s) on the participant's activities while on this trip Recent illnesses, injuries, and/or surgeries Current medical and/or psychological conditions Recent experiences that might be emotionally affecting the participant (i.e. death in the family, difficulties in school, etc.) What else would be helpful for staff and adult leaders to know about your child in order to provide a safe, caring experience on this trip?

Signature

The above information is accurate to the best of my knowledge.

Signature of Parent or Legal Guardian:

Date Signed:

Thanks so much. We look forward to caring for your child on this trip!

Care Information | Montreat Trip 2026

Emergency Contact

Special Food Needs

Allergies (Including food allergies and allergies to medicine)

Current Medication

Other Important Info

Signature

Office Hours

Address

Contact

Faith Formation

Worship Service