2025- 2026 Parent/ Guardian Permission Form for One Hope Youth Programs

¡Todos son bienvenidos a los programas del Rose Bowl!
Si necesita ayuda para completar este formulario, envie un mensaje al (918-417-2624).

Please enter your and your youth's information below for them to participate in One Hope's 2025-2026 youth programming at the Rose Bowl, 7419 E. 11th St.

- 8th - 12th graders are welcome to participate in Late Night, Friday Nights from 7-10:30 PM.

- 6th - 9th graders are welcome to participate in MidDay, Wednesdays from 4:35 - 6:15 PM.

- Girls in 6th - 12th grade are welcome to participate in Girls Club on Monday Nights from 5:30 PM - 7 PM.

We also offer a youth leadership and internship program (H.O.P.E. Leaders), youth volunteer opportunities, behavioral management groups, clubs, counseling, and mentorship teams.

Please call or message (918) 954-4147 if you have questions about your child joining any of the programs mentioned above or visit onehopetulsa.com/youth

Student Information

Youth's Name

Birthdate

Gender

Male Female Prefer not to say

Which races or ethnicities best describe your youth?

White/Caucasian Black/African American Hispanic/Latino Native American Asian/Pacific Islander Other

Please upload a current photo of your child that we can use to identify them if you have one available

Upload (8MB)

Contact

Youth's Phone Number

Address

Has your youth ever attended our sports & arts summer camp, Project 61?

Yes No

Education

Other:

Please list any of the following: current medications, medication allergies, food allergies, or chronic health conditions.

Does your student have any behavioral challenges, learning disabilities, etc?

Does your youth have an IEP?

Has your family or student had any recent losses we should be aware of?

Does your youth participate in extracurricular activities at their school?

Yes No Tried out, but did not make the team

Activities

Parent/ Guardian Information

Parent/ Guardian Name

Parent/ Guardian Phone

Parent/ Guardian Email

This address will receive a confirmation email

Is the youth's address the same as yours?

Yes No

If different, what is your address?

Transportation Information

Please list anyone we should be aware of who is NOT permitted to pick-up your youth from the Rose Bowl: (If there is no one, write N/A)

Does your youth have permission to walk home?

Yes Only during the day No

Emergency Contact

Emergency Contact Name

Emergency Contact Number

Emergency Contact Name 2

Emergency Contact 2 Number

Youth Program Policies

Take Care of Yourself
Take Care of Others
Take Care of the Space

Do you understand that by your youth attending One Hope youth programming, they are agreeing to NOT bring or use weapons or engage in violence?

Yes

Do you understand that by your youth attending One Hope youth programming, they are agreeing to NOT fight or play fight?

Yes

Do you understand that by your youth attending One Hope youth programming, they are agreeing to NOT bring or use drugs, tobacco, vapes, weed, or alcohol?

Yes

Do you understand that by your youth attending One Hope youth programming, they are agreeing to NOT engage in sexual activity, sexual harassment, or viewing/ creating porn?

Yes

Do you understand that by your youth attending One Hope youth programming, they are agreeing to NOT engage in put downs, bullying, harassment, threats, or gang repping?

Yes

Do you understand that by your youth attending One Hope youth programming, they are agreeing to be respectful of the program's schedule and expectations?

Yes

We collect the following information to provide appropriate support and maintain a safe program environment. Responses are confidential and do not automatically disqualify participation.

Has your youth been suspended from school in the past year?

Yes No Prefer not to say

Has the youth ever been found guilty or pled guilty or no contest to a criminal charge of any kind?

Yes No

Has the youth ever had a civil lawsuit alleging actual or attempted sexual abuse or misconduct, child abuse, or physical abuse brought against him/her?

Yes No

Has the youth ever had any allegations of actual or attempted sexual abuse or misconduct, child abuse or neglect, or assault and battery made against him/her?

Yes No

Has the youth ever had any allegations of financial misconduct, intoxication, or use of illegal drugs?

Yes No

If you answered "yes" to any of the 3 prior questions, please explain below and how we could best support your student. (If you answered "no," write N/A.)

I am aware that during participation in activities at the Rose Bowl certain risks and danger may occur. These include, but may not be limited to, the hazards of being in an urban area, the force of nature, and other reasons because of the content of some of the ministries and activities. One Hope will take all reasonable precautions to ensure the safety of participants, but injuries, heat stroke, asthma, allergic reactions, etc, can occur in the normal course of games and sports. In consideration of these ministries and activities, I do hereby assume all risks and will hold One Hope and the employees/leadership/staff harmless from any and all liability, actions, cause of action, debts, claims, and demands of every kind and nature whatsoever which I now have or which may arise from or in connection with my participation in any activities arranged for me by One Hope or occurring at the Rose Bowl. The terms hereof shall serve as a RELEASE AND ASSUMPTION OF RISK for my heirs, executors, and administrators, and for all members of my family. In case of accident or illness, One Hope will attempt to provide first aid and arrange transportation to medical services if needed. I give them permission to authorize medical services or transportation as needed. Cost of medical care beyond first aid is the financial responsibility of the ill or injured person. I assume full responsibility for my health and my child's being such that the activities will in no way aggravate any conditions present. I declare the statements on this form to be true. I also agree that I will follow One Hope policies. I also release all images, videos, quotes, and other media that includes or features of me and/or my child to be used by One Hope as they see fit.

I agree

2025- 2026 Parent/ Guardian Permission Form for One Hope Youth Programs

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